Comparison of Long-Term Treatment Outcomes in Patients with Complicated Forms of Colon Cancer
Kubrak Mykhailo Anatolijovych, Zavgorodnij Sergij Mykolajovych, Danilyk Mykhailo Bogdanovych, Bulba Pavlo Oleksandrovych
Journal of Advances in Medicine and Medical Research · pp. 150–156 · Published 28 Oct 2025
10.9734/jammr/2025/v37i115974Abstract
Background: The diagnosis of colon oncopathology, in almost half of the cases, occurs at stage III–IV due to the appearance of a complicated course of malignant disease. There is a need to develop the latest approaches to the management of patients in this category, which will improve the separate results of the treatment of these patients. Aim: The study aimed to conduct a comparative analysis of the 1- and 3-year survival of patients with complicated forms of colon cancer, who were treated according to standard approaches and a comprehensive perioperative strategy for managing patients with complicated forms of colon cancer in general surgical hospitals. Methodology: The study group included 180 (100%) patients with complicated forms of colon cancer who were treated in general surgical hospitals. All patients were divided into two groups: main (prospective) – 109 (60.56%) patients who were treated according to the comprehensive perioperative strategy of managing patients with complicated forms of colon cancer, and comparison group (retrospective) – 71 (39.44%) treated according to the standard approaches to the treatment of complicated colon cancer existing at that time. Results: In patients with stage III malignant pathology, the 1-year survival rate in the comparison group was 65.64 ± 8.41%, in the main – 75.12 ± 11.73% (χ2 = 6.70; p = 0.3248); 3-year – 50.02 ± 8.84% and 59.73 ± 9.68% respectively (χ2 = 5.90; p = 0.3871). In individuals with stage IV colon cancer, 1-year survival was at 29.23 ± 9.31% in the comparator group and 37.42 ± 10.19% – in the core group (χ2 = 4.60; p = 0.4261); 3-year - 8.33 ± 2.62% and 11.57 ± 3.14% respectively (χ2 = 3.80; p = 0.5187). Conclusion: The overall 1-year and 3-year survival rates were higher in the main group compared to the comparison group. This, in turn, indicates significantly better long-term treatment outcomes for patients with complicated forms of colon cancer when a comprehensive perioperative management strategy is applied.
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