Improvement of results in treatment of colorectal cancer remains a major challenge due to its increasing worldwide prevalence. Several studies have demonstrated the quality of surgical treatment as one of the most important prognostic factors, assessed by parameters such as operative mortality, sphincter preservation, local recurrence and survival rates. The aim of this study is to present the long term results of Coloproctology Group of Department of Surgery of Hospital Municipal São José, in Joinville, Brazil, as well as its quality analysis according to the accepted standards from literature. A prospective analysis of a consecutive series of 97 colorectal cancer patients operated for curative purpose was undertaken, with a mean follow up of 80,8 months. Operative mortality occurred in six patients (6,1%), local recurrence for recatl and colon cancer in six (12,5%) and four (9,7%) patients, respectively, and abdominoperineal resection was performed in 14 cases (27%) for rectal cancer. Mean overall survival was 48,9 months. Five-year overall oncological survival (n=63) was 52%, including 89% for stage1, 70% for stage 2 and 20% for stage 3 patients. We conclude that the results obtained are acceptable for literature standards, but some specific parameters need to be improved.
Colorectal neoplasms; surgery; quality control
