11 May 2017
Surgeons at the Annual Scientific Congress (ASC) of the Royal
Australasian College of Surgeons (RACS) in Adelaide were given a
presentation on the outcomes of surgical treatment for colorectal
cancer in rural Australia over a decade.
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The presentation was given by Dr David Smolilo, a third year
general surgery Trainee in South Australia who is currently
undertaking a PhD research project in the field of colonic
Dr Smolilo said that colorectal cancer was the second most
commonly diagnosed invasive malignancy in Australia.
"Results of some studies have suggested worse survival outcomes
for cancer patients treated outside of major cities however this 10
year study has found that the treatment of rural colorectal cancer
patients is comparable to that in the major cities.
"The aim of this study was to critically review the outcomes of
surgical treatment for colorectal cancer patients in rural South
Australia over a ten year period and it follows on from a previous
five year analysis originating from the same institution (Mount
Gambier Hospital)," Dr Smolilo said.
The outcome of all patients treated between January 2006 and
December 2016 was included for all stages of disease and
interventions performed and this included a total of 337 patients
with a median follow up of 27 months.
83.1 per cent and 16.9 per cent underwent elective and emergency
Ten year overall survival was 82 per cent for stage 1, 36 per cent
for stage 2, 36 per cent for stage 3 and 0 per cent for stage
The above results were achieved with a surgical 30 day mortality
of 2 per cent, morbidity of 18 per cent and a median length of stay
of 7 days.
"Colorectal cancer patients may undergo primary treatment in a
rural setting in a safe manner and with oncological results
comparable to tertiary centres.
"Maintenance of a cancer database is essential for quality
Up to 1500 surgeons are meeting in the Adelaide Convention Centre
this week for a series of workshops, discussions, Plenaries and
masterclasses across a broad range of surgical issues.