Long-term outcomes of surgical treatment in patients with colon cancer complicated by acute intestinal obstruction

Aim of the study: To assess the long-term outcomes of surgical treatment in patients with colon cancer complicated by acute intestinal obstruction, treated in a general surgical hospital setting.Materials and Methods: The study included 71 patients, 49 (69.1 %) of whom presented with acute intestinal obstruction. Radical surgeries were performed in 63.2 % of cases, palliative cytoreductive surgeries in 28.6 %, and symptomatic procedures in 8.2 %. The mean age of patients was 65.3 ± 13.2 years. Follow-up lasted up to 36 months and included CT with contrast and colonoscopy.Results: After discharge, only 54.6 % of patients sought oncological consultation in public healthcare facilities, and 9.1 % in private clinics. Among those who consulted an oncologist, 53.6 % received chemotherapy. Among patients with non-metastatic disease, recurrence was observed in 65.0 % of cases. The overall 1-year survival rate was 57.9 ± 6.3 %, and the 3-year survival rate was 32.7 ± 7.2 %.Conclusions: Low rates of oncological follow-up and limited use of chemotherapy contribute to high recurrence rates and reduced overall survival among patients with complicated colon cancer.