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© 1985 Oxford University Press

research-article

CARCINOMA OF THE COLON AND RECTUM IN GERIATRIC PATIENTS

TH. WOBBES, Surgeon

Department of General Surgery, University Hospital St. Radboud, Nijmegen, The Netherlands

In the period 1967–1981, 102 patients older than 70 years were treated for a colorectal carcinoma. The mean age was 76 years. The average delay was 7.6 months. Obstruction as initial symptom was seen in only 8% of the cases.

The resection rate was 85%. The postoperative mortality rate was 6% for patients who underwent a resection. For all patients the postoperative mortality rate was 8%.

The five-year survival rate for stage A (Astler—Coller) was 37%, for stage B 27%, for stage C 8%, for stage D 0%.

Of the whole group, the actuarial five-year survival rate was 27%, the ten-year survival rate 10%.

Surgery for colorectal carcinoma in the elderly is well tolerated, and a resection should be pursued as long as the general condition permits.

accepted in revised form February 20, 1985.


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