[Carcinoma of the colon. Results of surgical therapy]

The results of surgical treatment in 1032 patients with adenocarcinoma of the colon are demonstrated. In 90% a tumorresection was carried out. In 83% this resection was curative. The more advanced cancers could be found in the colon above the sigmoid. Preoperative tumor complications occurred more frequently in this area. The postoperative mortality rate after resektion of colonic carcinomas was overall 8.3% (elective surgery 6.6%; emergency surgery 20%). In the right colon an anastomotic leakage happened in 5.6%, in the left colon in 9.1%. In the right colon this complication was with a mortality rate of 67%, twice as high. The analysis of the survival rates proved that prognosis depends on the tumor stage, not on the location of the colonic cancer.