Objective: To report on the experience of the general surgery department at Ignace Deen National Hospital, Conakry University Hospital (Guinea), in the surgical management of colon cancer complicated by acute intestinal obstruction. Patients and methods: This was a retrospective descriptive study conducted over a seven-year period (January 2017-December 2023). All patients who underwent emergency surgery for histologically confirmed occluded colon cancer were included. The data analyzed included sociodemographic characteristics, ASA status, intraoperative data, surgical procedures performed, and postoperative outcomes. Statistical analysis was performed using EPI Info 7.2.3.1 software. Results: Seventy-eight patients were included, with a mean age of 59.2 ± 28.7 years and a predominance of males (sex ratio = 1.52). The majority of patients were classified as ASA III (44.9%). The left colon, particularly the sigmoid colon, was the most common tumor location (51.3%). The main surgical procedures performed were right hemicolectomy with immediate restoration of continuity (48.7%) and left colectomy with stoma (44.9%). Postoperative morbidity was 19.2% and mortality was 26.9%. The average length of hospital stay was 16.4 days. Conclusion: Surgical treatment of colon cancer with obstruction remains associated with high mortality. An individualized treatment strategy, taking into account the patients condition, tumor location, and available resources, remains essential to improve prognosis.
Naby et al. (Fri,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: