Most of the patient-related factors cannot be influenced by the surgeon. Due to the anatomically larger extension of the small pelvis in female patients, surgery is in most cases a little easier to perform and therefore results are better [3-6]. As colorectal cancer is a disease of elderly patients, we can count on a substantial number of patients who are unfit for surgery due to age and comorbidities. Although anaesthesia is rarely a contraindication for surgery, a sense of responsibility of the surgeon will sometimes limit a possible curative resection to a palliative procedure (e.g. local excision, stent). Obesity of the patient may influence the choice between conventional or laparo-scopic assisted technique . But the latter, if performed, still has a tough learning curve.
Was this article helpful?
I already know two things about you. You are an intelligent person who has a weighty problem. I know that you are intelligent because you are seeking help to solve your problem and that is always the second step to solving a problem. The first one is acknowledging that there is, in fact, a problem that needs to be solved.