PREDICTIVE FACTORS OF POSTOPERATIVE SURGICAL COMPLICATIONS IN PATIENTS WITH EMERGENCY COLON CANCER SURGERY - A RETROSPECTIVE STUDY

Raul Mihailov; Dorel Firescu; Cristina Șerban; Bianca Constantin; Oana Mihailov; Eugenia Panaitescu; Cristian Marica; Rodica  Bîrlă; Traian Pătrașcu

doi:10.33695/rojes.v3i1.35

Raul Mihailov 1Dunarea de Jos University, Faculty of Medicine and Pharmacy, Galati, Romania 2Clinical Emergency County Hospital Sf. Ap. Andrei, Galati, Romania
Dorel Firescu 1Dunarea de Jos University, Faculty of Medicine and Pharmacy, Galati, Romania 2Clinical Emergency County Hospital Sf. Ap. Andrei, Galati, Romania
Cristina Șerban 1Dunarea de Jos University, Faculty of Medicine and Pharmacy, Galati, Romania 2Clinical Emergency County Hospital Sf. Ap. Andrei, Galati, Romania
Bianca Constantin 2Clinical Emergency County Hospital Sf. Ap. Andrei, Galati, Romania
Oana Mihailov 1Dunarea de Jos University, Faculty of Medicine and Pharmacy, Galati, Romania
Eugenia Panaitescu 3Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Cristian Marica 4Clinical Hospital CF2, Bucharest, Romania
Rodica Bîrlă 3Carol Davila University of Medicine and Pharmacy, Bucharest, Romania 5Clinical Hospital Sf. Maria, Bucharest, Romania
Traian Pătrașcu 3Carol Davila University of Medicine and Pharmacy, Bucharest, Romania 6Clinical Hospital Dr. Ion Cantacuzino, Bucharest, Romania

DOI: https://doi.org/10.33695/rojes.v3i1.35

Keywords: postoperative surgical complications, complicated colon cancer, emergency surgery

Abstract

Emergency colon cancer surgery is accompanied by high rates of postoperative complications. The study aims to identify factors that predict postoperative surgical complications in patients undergoing emergency surgery for colon cancer. We retrospectively analyzed the postoperative surgical complications on a group of 449 patients hospitalized and operated in an emergency for complicated colon cancer, in the General SurgeryClinics I and II of the County Emergency Clinical Hospital “St. Ap. Andrei ”from Galați in the period 2008-2017. Patients' data were collected from medical notes, operation notes, imaging, and laboratory data, at the time of the emergency intervention. The predictive factors for the occurrence of postoperative surgical complications were: age<68 years, history of non-neoplastic pathology, Davies score 3 or 4, Charlson score> 3, and age-adjusted Charlson score > 10, presence of coagulation disorders, sepsis or acidosis at admission.

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