PMID: 6172174Dec 1, 1981Paper

Comparative results of surgical management of single carcinomas of the colon and rectum: a series of 1939 patients managed by one surgeon

The British Journal of Surgery
F T McDermottA B Price

Abstract

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 less than 0.002). 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 51 per cent respectively. This difference was accounted for by a higher proportion of Dukes' stage C tumours in the rectum (P less than 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 surv...Continue Reading

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Citations

May 7, 2002·International Journal of Cancer. Journal International Du Cancer·Wen-Bo DuHin-Peng Lee
Jan 1, 1993·Journal of Surgical Oncology·H K NazarianJ R Hiatt
Jan 1, 1989·International Journal of Colorectal Disease·L B SvendsenJ Kjaergaard
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Dec 1, 1984·Diseases of the Colon and Rectum·H C UmplebyR C Williamson
Jan 1, 1983·Diseases of the Colon and Rectum·W R JohnsonA B Price
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Jan 19, 2006·Surgical Endoscopy·D Z Lubowski, G L Newstead
Apr 8, 1998·The British Journal of Surgery·A G Heriot, D Kumar
Nov 23, 2013·PloS One·Yen-Chien LeeJenq-Chang Lee
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Mar 24, 2012·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·F Stelzner
Dec 1, 1996·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·U WoltersH Pichlmaier
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Feb 1, 1984·The Australian and New Zealand Journal of Surgery·F T McDermottA B Price
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Mar 21, 2007·The Medical Journal of Australia·Finlay A Macrae

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