Prospective analysis of more than 1,000 patients with rectal carcinoma: Are there gender-related differences?

Markus Kleemann*, Claudia Benecke, Diana Helfrich, Hans Peter Bruch, Tobias Keck, Tilman Laubert

*Corresponding author for this work
3 Citations (Scopus)


Background: Since the beginning of the new millennium gender medicine has become more and more relevant. The goal has been to unveil differences in presentation, treatment response, and prognosis of men and women with regard to various diseases. Methods: This study encompassed 1,061 patients who underwent surgery for rectal cancer at the Department of Surgery, University Medical Center Schleswig-Holstein Campus Lübeck, Germany, between January 1990 and December 2011. Prospectively documented demographic, clinical, pathological, and follow-up data were obtained. Analysis encompassed the comparison of clinical, histopathological, and oncological parameters with regard to the subcohorts of male and female patients. Results: No statistically significant differences could be found for clinical and histopathological parameters, location of tumor, resection with or without anastomosis, palliative or curative treatment, conversion rates, duration of surgery, and long-term survival. For the entire cohort, gender-related statistically significant differences in complications encompassed anastomotic leakage, burst abdomen, pneumonia, and urinary tract complications all of which occurred more often in men. Conclusion: Data obtained in this study suggest that there are no gender-related differences in the oncologic surgical treatment of patients with rectal carcinoma. However, male sex seems to be a risk factor for increased early postoperative morbidity.

Original languageEnglish
JournalViszeralmedizin: Gastrointestinal Medicine and Surgery
Issue number2
Pages (from-to)118-124
Number of pages7
Publication statusPublished - 04.2014

Research Areas and Centers

  • Research Area: Luebeck Integrated Oncology Network (LION)


Dive into the research topics of 'Prospective analysis of more than 1,000 patients with rectal carcinoma: Are there gender-related differences?'. Together they form a unique fingerprint.

Cite this