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06:46
Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
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322
EMERGENCY SURGERY FOR OBSTRUCTING COLON CANCER: MORBIDITY AND RISK FACTORS OF EARLY POSTOPERATIVE MORTALITY - A
Haithem Zaafouri1, Mona Cherif1, Nizar Khedhiri1
1University Tunis El Manar, Faculty of Medicine of Tunis, Habib Thameur Hospital, General Surgery - Tunis.
Summary
Emergency surgery for obstructive colon cancer has high mortality. Tumor perforation and multiple postoperative complications significantly increase early death risk, emphasizing the need for optimized patient management.
Area of Science:
- Oncology
- Surgical Gastroenterology
- Public Health
Background:
- Obstructive colon cancer is a frequent complication requiring emergency surgery.
- Emergency surgical management of colon cancer carries high morbidity and mortality rates (10-27%).
- Multifactorial elements contribute to increased mortality in emergency colon cancer surgery.
Purpose of the Study:
- To identify risk factors for early postoperative mortality in obstructive colon cancer.
- To inform therapeutic strategies for managing obstructive colon cancer.
Main Methods:
- Retrospective study of 118 patients with obstructive colon cancer.
- Patients underwent emergency surgery within 24 hours of admission (2008-2020).
Main Results:
- Early postoperative mortality rate was 10.2%.
- Univariate analysis identified ASA score III/IV, tumor perforation, and multiple postoperative complications as significant risk factors.
- Multivariate analysis confirmed tumor perforation and two postoperative complications as independent risk factors for early mortality.
Conclusions:
- Postoperative complications are the primary driver of early mortality after emergency surgery for obstructive colon cancer.
- Optimizing postoperative care for high-risk patients is crucial for reducing mortality.
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