Stoma-Resection-Reversal (SRR) strategy for Left-sided Obstructive Colon Cancer - a video vignette

ESGE recommended that stent as a bridge to surgery should be discussed as a treatment option in patients with potentially curable left-sided obstructing colon cancer as an alternative to emergency resection or diverting stoma within a shared decision-making process1 . However, a recent study revealed that stent as a bridge to surgery was associated with an increased rate of peritoneal seeding compared to stoma as a bridge to surgery (9.5% vs. 5.1%, P = 0.08 by Fisher exact test)2 . The underlying mechanism was possibly related to tumour cell dissemination induced by tumour disruption and perforation during stent placement3 .