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As the highest operative mortality rates are recorded for older individuals undergoing emergency surgery, the this website participation of this age group into screening programs might decrease the 1.596prevalence of the acute presentation. In the present study, univariate analyses (log-rank test) showed that the following factors were associated with specific complications (anastomotic leakage): severe anaemia, diabetes mellitus and rectal cancer. The results of multivariate analyses indicated that only anaemia and rectal cancer had significant impact on the risk of anastomotic leakage. These results imply that more attention should be given to patient selection and careful preoperative evaluation, followed by medical optimization, proper timing of surgery, and planning of perioperative care. On the other hand, we think that the use of loop ileostomy or loop transverse colostomy represents an important issue for temporary decompression of colorectal anastomosis, in rectal cancer, since it was an independent risk factors for anastomotic leakage, in multivariate analysis. The current study also questioned the factors which lengthen the hospitalization period, and revealed that diabetes mellitus and rectal cancer were indicators that correlated with the width of hospitalization. We think that this factor is very important for elderly patients because it has been proved that increased length of hospitalization was significantly associated with functional decline at the time of discharge (delirium, undernutrition, functional impairment, depression) [17,18]. Limitations The current study may be criticized for including some limitations, mostly related to its retrospective design and the data of a single institution. But, as most recent studies aimed at comparing population-based survival data for young and elderly, and as it has been proved that elderly patients have a higher rate of comorbidity and a higher postoperative 30-day mortality rate, we choose to focus on this critical period in the management of elderly colorectal cancer. Conclusion Because of improvements in surgical techniques, anaesthetic procedures, and postoperative care, elderly patients should be exposed to more aggressive management than they are currently receiving. Aggressiveness of management of any disease should be decided solely by the ability to withstand that management which is always assessed by functional status. The treatment should be intensive, appropriate, safe, effective and should be adjusted to take account of the biological age and comorbidities in order to maximize survival. In today��s time, for a disease like CRC when the treatment is usually planned, the patient can be shifted to a well endowed facility.