Workload and performance outcomes of colorectal cancer resection in provincial New Zealand have been defined in this study. A high proportion of patients presenting to Southland Hospital had advanced cancer in the rectum or distal colon. The main clinical indicators of colorectal cancer surgery outcome (mortality, anastomotic leak, wound infection and local recurrence) compare favourably with accepted standards of the time. Workload is adequate to maintain such outcomes. Future colorectal surgery in non-specialized units is important and can achieve good results.
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