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MANAGEMENT OF CANCER OF THE LOWER PART OF THE BOWEL
HARRY E. BACON, M.D.;
ROBERT J. ROWE, M.D.
Arch Surg. 1949;59(6):1278-1288.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE IMPORTANCE of cancer of the lower part of the bowel cannot be overemphasized when one considers that it still remains the fourth most common malignant process involving the human organism; of those of the gastrointestinal tract, it is second in frequency to cancer of the stomach. In this discussion it is our purpose to consider the preparation of the patient, choice of operative procedure and postoperative treatment, with particular reference paid to the technic of abdominoperineal proctosigmoidectomy without colostomy and preservation of the sphincter musculature.
Advances in management of cancer of the lower part of the bowel have diminished markedly the mortality rate accompanying operative procedures undertaken for this disease. This is well demonstrated in our own series of cases, which includes 640 patients with malignant growths of the anus, rectum and sigmoid colon, shown in table 1.
PREOPERATIVE EVALUATION AND PREPARATION
In order to prepare patients with any
. . . [Full Text PDF of this Article]
Author Affiliations
Professor and Head of the Department of Proctology, Temple University Medical School; Senior Resident in Proctology, Temple University Hospital PHILADELPHIA
Footnotes
Read before the Sectional Meeting of the Nebraska Chapter of the International College of Surgeons, Lincoln, Neb., May 22, 1947.
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