Patient Related Factors

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 [12]. But the latter, if performed, still has a tough learning curve.

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