BACKGROUND:Textbook outcome (TO) is a multidimensional quality management tool that uses a set of traditional surgical measures to re ect an "ideal" surgical result for a particular pathology. The aim of the present study is to record the rate of TO in patients undergoing elective surgery for colon cancer. MATERIAL AND METHODS:Retrospective study of all patients undergoing scheduled colon cancer surgery at a Spanish university hospital from September 2012 to August 2016. Patients with rectal cancer were excluded. The variables included in the de nition of TO were: R0 resection, number of isolated nodes ≥12, no Clavien-Dindo ≥IIIa complications, no prolonged stay, no readmissions, and no mortality in the rst 30 days. RESULTS:Five hundred and sixty-four patients were included in the study. TO was achieved in 49.8%. The sample had a mean age of 69 ± 11 years, and 60% were male. Female sex (OR 1.61; 95% CI 2.30-1.13), T3 and T4 classi cation (OR 2.50, and OR 2.55, and laparoscopic approach (OR 1.53, 95% CI 2.33-1.00) were independent factors that were signi cantly associated with achieving a TO. Patients who achieved TO had higher overall survival (p=0.008) than those who did not. However, with regard to disease-free survival, no statistically signi cant differences were found (p=0.303). CONCLUSION:TO is a useful, easy-to-interpret management tool for measuring oncological results and for predicting patient survival.The study was registered in the public accessible database clinicaltrials.gov with the ClinicalTrials.gov ID: NCT05675904. Public release date: 01/05/2023.