title: [Development of colorectal tumor surgery in the last 20 years].
abstract: Early and longterm results in surgery for colorectal cancer during the last two decades were investigated by a retrospective analysis of the data of 1,203 patients. During the last 10 years we registered a significant increase in more advanced tumors of the stage III and IV from 37 to 52%. Nevertheless operative mortality was reduced from 8.5 to 3.5%. The amount of curative resections was 80% constantly. The incidence of local recurrence decreased from 18 to 12%, distant metastases however were observed twice as much during the last decade (16%) as compared to the first 10 years of the observation period. Longterm survival has only slightly improved, concerning mainly stage III patients with an increase of 5-year-survival from 31 to 48%. The results of a rigorous follow up after surgery for colon and rectal carcinoma were disappointing.
authors: Klinik und Poliklinik für Chirurgie, Universität zu Köln.
authors: H W
authors: HW
authors: Keller
authors: U
authors: U
authors: Wolters
authors: R
authors: R
authors: Hülser
authors: J M
authors: JM
authors: Müller
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000401:mortality*; D011788:Quality of Life; D012189:Retrospective Studies; D015996:Survival Rate
vernacular_title: Die Entwicklung der kolorektalen Tumorchirurgie in den letzten 20 Jahren.