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.

中文翻译：

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左侧梗阻性结肠癌的造口切除逆转 (SRR) 策略 - 视频小插曲

ESGE 建议，在共同决策过程中，应讨论支架作为手术的桥梁，作为可能治愈的左侧梗阻性结肠癌患者的一种治疗选择，作为紧急切除或转移造口的替代方案¹。然而，最近的一项研究表明，与作为手术桥梁的造口相比，支架作为手术的桥梁与腹膜种植率的增加有关（9.5% vs. 5.1%， Fisher 精确检验P = 0.08）²。其潜在机制可能与支架放置过程中肿瘤破裂和穿孔引起的肿瘤细胞扩散有关³。