Associated factors for postoperative morbidity and mortality following surgery of obstructive colon tumors

Résumé

Background Intestinal obstruction is a frequent complication. Colonic tumors are the leading cause of death in developed countries. Its treatment is controversial because of the plethora of available procedures. An adequate assessment of the patient’s status and the results of each procedure will help in the choice of therapeutic measures. We aimed to determine the factors associatedwith postoperative morbid mortality in the setting of obstructive colon tumors. Methods We retrospectively studied patients who underwent surgery for obstructive colon tumors between 2011 and 2023 years. Results During the study’s period, 62 cases were included in the study. Left localization was predominant (n=51, 82.3%). Diverting ostomy was the most proposed procedure (n=22; 35.5%), followed by segmental resection (n=15; 24.2%). Postoperative complications occurred in 37.5% with the majority being surgical (n=14, 22.6%). Seven deaths were numbered (11%). Neurological comorbidity (p=0.027, OR=55%), hemodynamic instability (p≤0.000, OR=63%), peritoneal carcinosis (p<0.000, OR=60%), and catecholamine usage peroperatively (p=0.007, OR=57%) were associated with postoperative mortality. Conclusion Considering these results, surgeons can adequately choose the surgical procedure for at-risk patients, resulting in a less troubled postoperative course.

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