Changes in outcome following surgery for colorectal cancer: one surgeon’s experience

  • J. M. Kiely
  • E. G. Kavanagh
  • A. M. Guiney
  • C. Fiuza-Castineira
  • P. V. Delaney
Original Paper

DOI: 10.1007/BF03168975

Cite this article as:
Kiely, J.M., Kavanagh, E.G., Guiney, A.M. et al. Ir J Med Sci (2005) 174: 10. doi:10.1007/BF03168975

Abstract

Background

Colorectal cancer (CRC) has the second highest mortality rate of all cancers in Ireland. Developments in imaging, surgical technique, and perioperative care in the last two decades have altered management.

Aims

To determine whether outcome following surgery for CRC in the mid-west has changed over a 22-year period.

Methods

Four hundred and twenty-two patients were divided into two time periods: Group A (1980–1991, n = 203) and Group B (1992–2002, n = 219) and demographic, inpatient, and survival data were reviewed.

Results

The mean age was 67 years, 59% were male. Group B patients had less advanced disease at presentation (Dukes’ stage D 14% vs 22%,p<0.05), fewer perioperative complications (13% vs 23%,p<0.05), and fewer local recurrences (6.8% vs n.8%,p<0.05) than Group A. No difference in 30-day mortality rate or survival was detected.

Conclusions

Although perioperative CRC management has improved, methods of earlier diagnosis and improvements in adjuvant therapy should be explored to improve survival.

Copyright information

© Springer 2005

Authors and Affiliations

  • J. M. Kiely
    • 1
  • E. G. Kavanagh
    • 1
  • A. M. Guiney
    • 1
  • C. Fiuza-Castineira
    • 1
  • P. V. Delaney
    • 1
  1. 1.Dept of SurgeryMidwestern Regional HospitalDooradoyle, Limerick

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