Skip to main content
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1991 Sep;73(5):269–272.

Risk factors and operative mortality in surgery for colorectal cancer.

S C Brown 1, J S Abraham 1, S Walsh 1, P A Sykes 1
PMCID: PMC2499498  PMID: 1929123

Abstract

The operative mortality rate after surgery for colorectal carcinoma remains significant. A series of 578 patients has been studied prospectively. The features which most significantly affect operative mortality are the age of the patient, a history of loss of weight, limited preoperative patient mobility and the presence of intestinal obstruction with perforation of the bowel. By identifying high-risk groups of patients, attention may be focused on particular patients at risk, in order to reduce operative mortality.

Full text

PDF
269

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bear H. D., MacIntyre J., Burns H. J., Jarrett F., Wilson R. E. Colon and rectal carcinoma in the west of Scotland. Symptoms, histologic characteristics, and outcome. Am J Surg. 1984 Apr;147(4):441–446. doi: 10.1016/0002-9610(84)90002-3. [DOI] [PubMed] [Google Scholar]
  2. Brown S. C., Walsh S., Sykes P. A. Operative mortality rate and surgery for colorectal cancer. Br J Surg. 1988 Jul;75(7):645–647. doi: 10.1002/bjs.1800750708. [DOI] [PubMed] [Google Scholar]
  3. Clarke D. N., Jones P. F., Needham C. D. Outcome in colorectal carcinoma: seven-year study of a population. Br Med J. 1980 Feb 16;280(6212):431–435. doi: 10.1136/bmj.280.6212.431. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Fielding L. P., Phillips R. K., Fry J. S., Hittinger R. Prediction of outcome after curative resection for large bowel cancer. Lancet. 1986 Oct 18;2(8512):904–907. doi: 10.1016/s0140-6736(86)90422-8. [DOI] [PubMed] [Google Scholar]
  5. Habib N. A., Peck M. A., Sawyer C. N., Blaxland J. W., Luck R. J. An analysis of the outcome of 301 malignant colorectal tumors. Dis Colon Rectum. 1983 Sep;26(9):601–605. doi: 10.1007/BF02552972. [DOI] [PubMed] [Google Scholar]
  6. Hughes E. S., McDermott F. T., Masterton J. P., Cunningham I. G., Polglase A. L. Operative mortality following excision of the rectum. Br J Surg. 1980 Jan;67(1):49–51. doi: 10.1002/bjs.1800670115. [DOI] [PubMed] [Google Scholar]
  7. Irvin T. T. Prognosis of colorectal cancer in the elderly. Br J Surg. 1988 May;75(5):419–421. doi: 10.1002/bjs.1800750508. [DOI] [PubMed] [Google Scholar]
  8. Lockhart-Mummery H. E., Ritchie J. K., Hawley P. R. The results of surgical treatment for carcinoma of the rectum of St Mark's Hospital from 1948 to 1972. Br J Surg. 1976 Sep;63(9):673–677. doi: 10.1002/bjs.1800630902. [DOI] [PubMed] [Google Scholar]
  9. McDermott F. T., Hughes E. S., Pihl E., Milne B. J., Price A. B. 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. 1981 Dec;68(12):850–855. doi: 10.1002/bjs.1800681207. [DOI] [PubMed] [Google Scholar]
  10. Mortensen N. Wide variations in surgical mortality. BMJ. 1989 Feb 11;298(6670):344–345. doi: 10.1136/bmj.298.6670.344. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Turunen M. J., Peltokallio P. Surgical results in 657 patients with colorectal cancer. Dis Colon Rectum. 1983 Sep;26(9):606–612. doi: 10.1007/BF02552974. [DOI] [PubMed] [Google Scholar]
  12. Umpleby H. C., Williamson R. C. Survival in acute obstructing colorectal carcinoma. Dis Colon Rectum. 1984 May;27(5):299–304. doi: 10.1007/BF02555634. [DOI] [PubMed] [Google Scholar]
  13. Whittaker M., Goligher J. C. The prognosis after surgical treatment for carcinoma of the rectum. Br J Surg. 1976 May;63(5):384–388. doi: 10.1002/bjs.1800630513. [DOI] [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES