Oncological results of emergency operations for right-sided colorectal cancer

Objective. To study the oncological treatment results of patients with right-sided complicated colorectal cancer. Material and methods. The presented study analyzed the treatment results of 38 patients: with acute intestinal obstruction (23 patients) and peritonitis caused by tumor destruction with its perforation (15 patients). The surgical stage of treatment consisted of performing a right-sided hemicolectomy with the formation of an end-to-side small-colonic anastomosis according to the technique adopted at the department (patent No. 2709253). The frequency of 3- and 5-year survival and the presence of cancer progression were assessed. Results. In acute intestinal obstruction, the 3-year survival rate was 78%, 5-year survival – 43%. In case of tumor perforation with peritonitis, the 3-year survival rate is 53%, while progression was detected in only 20% of patients. Discussion. According to modern literature, in case of tumor disintegration with perforation and peritonitis, the 3-year relapse-free survival rate is from 15% to 42%, in case of acute intestinal obstruction, the 5-year survival rate is up to 42%, and the 3-year survival rate is up to 78%. Our results are consistent with these statistics. Conclusion. Radical surgeries for complicated cancer of the right half of the colon are applicable in practice, and the oncological treatment results correspond to the data published by other clinics.

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