Comparative results of surgical management of single carcinomas of the colon and rectum: A series of 1939 patients managed by one surgeon
Article first published online: 7 DEC 2005
Copyright © 1981 British Journal of Surgery Society Ltd.
British Journal of Surgery
Volume 68, Issue 12, pages 850–855, December 1981
How to Cite
McDermott, F. T., Hughes, E. S. R., Pihl, E., Milne, B. J. and Price, A. B. (1981), Comparative results of surgical management of single carcinomas of the colon and rectum: A series of 1939 patients managed by one surgeon. Br J Surg, 68: 850–855. doi: 10.1002/bjs.1800681207
- Issue published online: 7 DEC 2005
- Article first published online: 7 DEC 2005
- Manuscript Accepted: 12 MAY 1981
- Anti-Cancer Council of Victoria
- Alfred Hospital
A comparative analysis has been made of the results of surgical management of single carcinomas of the colon and rectum in a series of 1939 patients treated by one surgeon. The data were prospectively collected, with 99 per cent follow-up. Cancer specific survival did not differ significantly between patients with colonic or rectal cancer. Survival prospects were better for women (P = 0·02) and for patients less than 40 years of age (P = 0·03). Survival was significantly related to tumour staging (P<0·001). Cancer specific survival was better after curative resection for colonic than rectal carcinoma (P = 0·003). Five-year survival for patients with colonic tumours was 76 per cent and for rectal tumours 69 per cent. The 10-year survival figures were 73 per cent and 61 per cent respectively. This difference was accounted for by a higher proportion of Dukes' stage C tumours in the rectum (P<0·001) and better survival prospects for colonic compared to rectal stage C1 tumours (P = 0·02). Sphincter-saving resections were performed in 64 per cent of rectal cancer patients managed by curative resection. Survival tended to be better than after sphincter-sacrificing operations. After palliative resection, median survival for colonic and rectal cancer was 14 and 13 months respectively. After palliative bypass operations the corresponding figures were 4 and 8 months.