Amelung FJ, et al. - Long-term oncological outcomes between emergency resection and self-expandable metal stent (SEMS) placement as a bridge to surgery (BTS) in patients with left-sided obstructing colonic cancer, were compared. From a national collaborative research project, researchers matched 222 patients who had a stent placed to 444 who underwent emergency resection. Observations revealed the overall SEMS-related perforation rate of 7·7 % (17 of 222). Following SEMS insertion and emergency resection, three-year locoregional recurrence rates were 11·4% and 13·6%, disease-free survival rates were 58·8% and 52·6%, and overall survival rates were 74·0% and 68·3%, respectively. Overall, findings support the oncological safety of performing SEMS as BTS as an alternative to emergency resection with fewer permanent stomas. Nevertheless, decision-making for individual patients may be influenced by the risk of SEMS-related perforation, as well as permanent stoma.