Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2025; 17(8): 106499
Published online Aug 27, 2025. doi: 10.4240/wjgs.v17.i8.106499
Efficacy and safety of combining intestinal stenting with laparoscopic surgery in colorectal cancer patients with acute intestinal obstruction
Yi-Na He, Tian-Tian Zhao
Yi-Na He, Department of Anesthesiology, Beijing Anzhen Nanchong Hospital, Capital Medical University and Nanchong Central Hospital, Nanchong 637000, Sichuan Province, China
Tian-Tian Zhao, Department of Emergency, Beijing Anzhen Nanchong Hospital, Capital Medical University and Nanchong Central Hospital, Nanchong 637000, Sichuan Province, China
Author contributions: He YN designed the research study, performed the primary literature review, and data extraction; He YN and Zhao TT analyzed the data and wrote the manuscript; Zhao TT was responsible for revising the manuscript for important intellectual content; and all authors thoroughly reviewed and endorsed the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Nanchong Central Hospital, approval No. 2024 (187).
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at tiana7070@163.com. Participants gave informed consent for data sharing.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tian-Tian Zhao, Department of Emergency, Beijing Anzhen Nanchong Hospital, Capital Medical University and Nanchong Central Hospital, No. 97 Renmin South Road, Shunqing District, Nanchong 637000, Sichuan Province, China. tiana7070@163.com
Received: April 1, 2025
Revised: April 24, 2025
Accepted: June 23, 2025
Published online: August 27, 2025
Processing time: 146 Days and 4.1 Hours
Abstract
BACKGROUND

Recently, intestinal stenting combined with laparoscopic surgery has received increasing attention as a treatment option for acute intestinal obstruction. However, its safety and efficacy have not yet been established.

AIM

To assess the efficacy and safety of combining intestinal stenting with laparoscopic surgery for the management of acute intestinal obstruction.

METHODS

Clinical data from 74 patients with colorectal cancer and acute intestinal obstruction, who were admitted to the emergency department of the authors’ hospital between October 2023 and November 2024, were collected and analyzed. Patients were divided into two groups based on the surgical intervention: A control group (emergency open surgery, n = 37) and a study group (intestinal stent implantation combined with laparoscopic surgery, n = 37). Observation indicators included stent placement rate, obstruction relief rate, and stent-related complications.

RESULTS

Intestinal stent placement was 100% successful in the study group, all of whom experienced relief from obstruction while exhibiting a significantly lower rate of ostomy creation and a higher rate of primary anastomosis than in the control group, as well as less intraoperative blood loss, shorter time to flatus, and shorter hospital stay. The complication rate was 5.41% (2/37; bleeding and re-obstruction), with no statistically significant difference between the two groups in terms of operative duration or perioperative mortality. The overall complication rates were 5.41% (2/37) and 21.62% (8/37) in the intervention and control groups, respectively. Tumor recurrence and overall survival rates were 2.70% and 97.30% in the study group and 13.51% and 91.89% in the control group, respectively.

CONCLUSION

Intestinal stenting relieved acute obstructions, reduced the number of emergency surgeries, and supported laparoscopic procedures while improving primary anastomosis rates, minimizing ostomy occurrence, surgical trauma, and complications, and accelerating recovery.

Keywords: Acute intestinal obstruction; Intestinal stent; Safety; Laparoscopic surgery; Emergency surgery; Efficacy

Core Tip: To assess the efficacy and safety of combining intestinal stenting with laparoscopic surgery for the management of acute intestinal obstruction. We concluded that intestinal stenting relieved acute obstructions, reduced the number of emergency surgeries, and supported laparoscopic procedures while improving primary anastomosis rates, minimizing the occurrence of ostomies, surgical trauma, and complications, and facilitating a faster recovery.