대한대장항문학회

This report is a retrospective clinical analysis fo 84 cases more than 65 years of colo-<br>rectal carcinoma treated surgically by the Department of General Surgery, College of<br>Medicine, Soon Chun Hyang University from January 1991 to December 1995. The<br>average age was 71.3 years; 49 patients were male and 35 were female. Tumor location<br>was as follows; rectum 39(46.4%), sigmoid 22(26.2), ascending colon 12(14.3%),<br>descending colon 8(9.5%), transverse colon 3(3.6%). The most frequent symptom in<br>colorectal cancer was abdominal pain. The patients whose clinical symptom had been for<br>less than 1 month before the hospitalization was about 31.0%. The rate of curative<br>resection was 88.1%, Emergency operation was performed about 19.0%(16 cases). By<br>Astler- Coller classification, there were stage A 2 cases(2.5%), Bl 13 cases(16.5%), B2<br>28 cases(35.4%), Cl 2 cases(2.5%), C2 24 cases(30.4%), D 10 cases(12.7%). The average<br>size of mass was 4.41 on. The most common pathologic type was moderately<br>differentiated adenocarcinoma. Postoperative mortality rate was 4.7%(4 cases). The 5<br>year cumulative survival rate was 42.9%.<br>In conclusion, the postoperative mortality and survival rates obtained in this study<br>encourage us not to consider age as a limiting factor for curative surgical treatment.<br>Early detection of colorectal cancer, adequate management of preoperative underlying<br>disease and aggresive curative resection are improving outcome in the surgery of old<br>aged patients with colorectal cancer.<br>