Original ArticlesPreoperative Colonic Decompression With Decompression Tube Insertion Versus Stent Insertion in Patients With Malignant Left Colonic ObstructionXu, Yuan-Shun MD*; Fu, Yu-Fei MD*; Li, De-Chun MD*; Song, Tao MD† Author Information Departments of *Radiology †Gastrointestinal Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu, China Y.-S.X. and Y.-F.F. contributed equally to this work. The authors declare no conflicts of interest. Reprints: Tao Song, MD, Department of Gastrointestinal Surgery, Xuzhou Central Hospital, 199 Jiefang Road, Xuzhou, Jiangsu 221009, China (e-mail: [email protected]). Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: April 2020 - Volume 30 - Issue 2 - p 183-186 doi: 10.1097/SLE.0000000000000702 Buy Metrics Abstract Purpose: To compare the clinical effectiveness of preoperative colonic decompression (PCD) performed with stent or decompression tube insertion in patients with malignant left colonic obstruction (MLCO). Materials and Methods: Between September 2014 and September 2018, 63 patients with MLCO underwent PCD (decompression tube: 35; stent: 28) in our center. Elective surgery was performed for patients with clinical success of PCD. Results: The rates of technical success for PCD with tube and stent insertion were 91.4% (32/35) and 96.4% (27/28), respectively (P=0.773). Clinical success rates for PCD with tube and stent insertion were 90.6% (29/32) and 85.2% (23/27), respectively (P=0.811). Tumor resection with primary anastomosis was performed in all patients with clinical success in both groups. No significant differences were found between 2 groups regarding the duration of surgery and rates of postoperative complications. Conclusion: Decompression tube and stent insertion had similar effectiveness for PCD in patients with MLCO. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.