Colon cancer radical surgery postoperative morbidity and mortality

Abstract

Aim. The aim of the study was to evaluate the surgical treatment outcomes in a regional oncology dispensary and postoperative complications risk factors evaluation.Materials and methods. The retrospective study included clinical data of patients with verified colon carcinoma who underwent radical surgery. The treatment outcomes and postoperative complications risk factors were assessed.Results. 968 patients data wes analyzed. Complicated cancer was observed in 10.2 % of patients. Postoperative mortality was 0.6 %. Mortality was almost significantly lower in patients under 75 years old (p = 0.06) OR 0.092 (95 % CI 0.017–0.509), the reoperations rate was influenced by the male gender of patients (p = 0.021, odds ratio (OR) 2.189, 95 % confidence interval (CI) 1.125–4.259). Combined colon resection was significantly associated with anastomotic leakage (AL) (p = 0.048, OR 3.328, 95 % CI 1.011–10.957), laparotomic access was almost significantly associated with AL (p = 0.074, OR 2.984, 95 % CI 0.9–9.892).Conclusions. Regional oncology dispensary colon cancer radical surgery care allows not to exceed postoperative mortality rate in comparison with modern world practice. Older patients are at risk of increased postoperative mortality, laparoscopic access is associated with a lower rate of postoperative complications.