대한대장항문학회

This is a clinical study of 158 cases of colorectal carcinoma which were treated at the<br>department of surgery, Kan2 Nam Sacred Heart Hospital from January 1984 to April<br>1992.<br>The following results were obtained<br>1) The male/female ratio was 1.1 : 1 and age incidence was most prevalent in<br>patients between 60-70 years of age.<br>2) The location of tumor was most frequent first in the rectum(51.3%) and second in<br>the sigmoid colon(20.0%).<br>3) The most frequent symptoms and signs were abdominal pain, bowel habit change,<br>and blood in the stool.<br>4) The duration of the first appearance of symptoms to the time of admission was<br>within 6 months(77.2%t<br>5) The diagnostic accuracies of colorectal cancer were: 62.5% by digital<br>rectal<br>examinatio, 98.4% by barium enema, 100% by endoscopy.<br>6) The resectability was 82.9%, of these resections, the most frequent operation was<br>abdominoperineal resection(34.2% ).<br>7) The most common histological type was adenocarcinoma(97.5%)<br>8) The stages of the tumors were: Dukes A(3.2%), B(44.9%), C(36.7), and D(15.2%).<br>9) Metastasis occured in: pelvic organs 8.8%, liver 6.8%, peritoneum 6.0% and others<br>2.5%.<br>10) Postoperative complications developed in 27.2% of total patients Among them,<br>urinary complication accounted for 9.5%, intestinal obstruction 7.6%, wound infection<br>5.1%, pulmonary complication 4.4%, The operative mortality was 1.3%.<br>11) The overall two year survival rate was 68.3% and the overall five year survival<br>rate was 47.2%.<br>12)The two year survival rate according to Dukes classification was: 100% of the<br>stage A group,79.4% of the stage B group,49.7% for the stage C group.<br>The five year survival rate according to Dukes classification was: 100% of group(p<<br>0.05).<br>The two year survival rate according to tumor site was: 74.0% of colon,61.7% of<br>rectum.<br>