Prognostic Factors of Postoperative Mortality in Patients with Complicated Right Colon Cancer

The incidence of right colon cancer presented in the stage of complications is significant. There are major differences in therapeutic approach between elective colon cancer surgery and emergency surgery. Complications such as hemorrhage, obstruction, and perforation require careful evaluation of prognostic factors, with morbidity and mortality rates being much higher compared to elective colon surgery. We retrospectively analyzed a group of 95 patients admitted in emergency in the County Emergency Hospital St. Apostol Apostol Andrei Galati with complicated tumors of the right colon - occlusive, perforated or hemorrhagic. A series of clinical and biological parameters were followed in order to identify prognostic factors in the occurrence of death. We analyzed the specialized literature, comparing our study with other similar research from the most important databases. The postoperative death rate in patients with complicated right colon cancer is high. Most complications were occlusive, followed by hemorrhagic and perforative complications.