Table 1.
Summary of patients' details undergoing attempted ureteric stenting for colorectal cancer
Age (yr)/Sex | Site of tumour | Pre-nephrostomy treatment | Type of ureteric stent | Time from diagnosis to stent | Post-nephrostomy treatment | MDT or surgeon discussion | Outcome (post-stent) | ||||
---|---|---|---|---|---|---|---|---|---|---|---|
Surgery | Chemotherapy | Radiotherapy | Surgery | Chemotherapy | Radiotherapy | ||||||
69/F | Rectum | Defunctioning colostomy | No | No | Unilateral antegrade | 14 days | Yesa | No | Yes | Surgeon | Died 927 days |
35/M | Sigmoid | Sigmoid colectomy | 5-FU/mitomycin | No | Unilateral antegradeb | 947 days | No | 5-FU/mitomycin | No | No | Died 872 days |
76/M | Rectum | Palliative APR | No | Yes | Unilateral retrograde | 1280 days | No | 5-FU/mitomycin | No | No | Died 621 days |
84/M | Transverse | Extended right hemicolectomy | No | No | Unilateral antegrade | 665 days | No | No | No | No | Died 297 days |
67/F | Rectum | Defunctioning colostomy | No | No | Unilateral antegrade | 87 days | No | 5-FU/mitomycin | No | No | Died 260 days |
71/M | Sigmoid | Sigmoid colectomy | 5-FU/mitomycin | Yes | Unilateral antegrade | 1248 days | No | No | No | No | Died 216 days |
76/F | Rectum | Defunctioning colostomy | No | No | Bilateral retrograde | 430 days | No | No | No | No | Died 210 days |
61/M | Rectum | Anterior resection | No | Yes | Unilateral antegrade | 1710 days | No | No | No | No | Died 210 days |
49/M | Rectum | Defunctioning ileostomy | No | No | Bilateral retrograde | 410 days | No | 5-FU/mitomycin | No | Urology MDT | Died 86 days |
85/M | Rectum | Hartmann's | 5-FU/mitomycin | Yes | Unilateral nephrostomyc | 702 days | No | No | No | No | Died 47 days |
73/F | Rectum and lung | No | No | No | Bilateral antegrade | 6 days | No | No | No | Urology MDT | Died 27 days |
69/M | Rectum | Defunctioning colostomy | No | No | Failed bilateral retrograded | 13 days | No | No | No | Surgeon | Died 21 days |
47/M | Sigmoid | Defunctioning colostomy | 5-FU/mitomycin | No | Unilateral antegrade | 386 days | No | No | No | No | Died 15 days |
Right nephrectomy, cystectomy and ileal conduit for vesicovaginal fistula secondary to irresectable pelvic disease.
Right antegrade stent inserted as two-stage procedure. Left side also treated with antegrade stenting 22 months after right side.
Nephrostomy not converted to ureteric stent as unable to pass guidewire through stricture.
Retrograde stenting failed and patient renal function remained stable. Plans for antegrade stenting abandoned.