Objective The aim of this study is to analyse our experience and assess the outcome of surgery for colorectal cancer with curative intent in Greece. Methods During the last 10 years, 550 patients were treated for colorectal cancer with curative intent. 291 (52.9%) of the patients suffered from colonic cancer while 259 (47.1%) were operated for rectal cancer. Tumour site, Astler-Coller and TNM classifications and surgical procedures were recorded. Total mortality, morbidity and 5-year survival were evaluated.Results Morbidity rate was 12.0% and mortality rate was 0.68% for colonic cancer surgery, whereas the overall five year survival rate was 77.9%. Morbidity rate was 16.9% and mortality rate was of 0.38% for rectal cancer patients. The overall five year survival rate was 79.6%.Conclusion Morbidity, mortality rate and 5-year survival after colorectal surgery in our department in Greece are comparable to those published in the international literature.

Objective The aim of this study is to analyse our experience and assess the outcome of surgery for colorectal cancer with curative intent in Greece. Methods During the last 10 years, 550 patients were treated for colorectal cancer with curative intent. 291 (52.9%) of the patients suffered from colonic cancer while 259 (47.1%) were operated for rectal cancer. Tumour site, Astler-Coller and TNM classifications and surgical procedures were recorded. Total mortality, morbidity and 5-year survival were evaluated.Results Morbidity rate was 12.0% and mortality rate was 0.68% for colonic cancer surgery, whereas the overall five year survival rate was 77.9%. Morbidity rate was 16.9% and mortality rate was of 0.38% for rectal cancer patients. The overall five year survival rate was 79.6%.Conclusion Morbidity, mortality rate and 5-year survival after colorectal surgery in our department in Greece are comparable to those published in the international literature.

Objective To present the diagnosis and management of anastomotic leakage after colon resection. Methods Early diagnosis and urgent therapeutic intervention are required in order to avert life-threatening conditions that may be caused by anastomotic leakage. Results The diagnosis of anastomotic leakage is based on clinical features, peripheral blood investigations and abdominal computed tomography (CT) scan. Major leaks are defined by symptoms of peritonitis and septicaemia due to leakage. Major leaks should be managed operatively. Minor leaks can be managed conservatively with successful outcomes. Conclusion Leakage of colonic anastomosis remains the most serious complication after colon resection. It is a major cause of postoperative morbidity and mortality. A high index of suspicion is required in order to detect early, nonspecific signs of a leakage and urgent surgical intervention is usually required to avert life-threatening events.

Objective To present the diagnosis and management of anastomotic leakage after colon resection. Methods Early diagnosis and urgent therapeutic intervention are required in order to avert life-threatening conditions that may be caused by anastomotic leakage. Results The diagnosis of anastomotic leakage is based on clinical features, peripheral blood investigations and abdominal computed tomography (CT) scan. Major leaks are defined by symptoms of peritonitis and septicaemia due to leakage. Major leaks should be managed operatively. Minor leaks can be managed conservatively with successful outcomes. Conclusion Leakage of colonic anastomosis remains the most serious complication after colon resection. It is a major cause of postoperative morbidity and mortality. A high index of suspicion is required in order to detect early, nonspecific signs of a leakage and urgent surgical intervention is usually required to avert life-threatening events.