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Abdominoperineal Proctosigmoidectomy Without Abdominal Colostomy and with Sphincter Muscle Preservation: A Critical Analysis of 699 Cases

JAMES K. McGREGOR, MDCM; HARRY E. BACON, M.D.

AMA Arch Surg. 1962;85(5):807-812.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Carcinoma of the colon and rectum constitutes a major medical, social, and economic problem. With the exception of epidermoid carcinoma of the skin, it is the most common malignancy to afflict both men and women. It is estimated that 40,000 people died of this disease within the United States during the last year.

It is stated that 70% to 80% of patients with Duke's A lesion¹ can be expected to survive 5 years after surgical extirpation, while the prognosis is progressively more guarded once the muscle-coats or regional lymph nodes are involved, no matter what surgical procedure is instituted. The use of chemotherapeutic agents as an adjunct to surgery is currently being evaluated in this and other centers throughout the country, but the techniques are still in their infancy, and a clear picture of their effectiveness is not as yet available. Therefore, early diagnosis, based on the increased use . . . [Full Text PDF of this Article]

Author Affiliations
PHILADELPHIA

Resident, Department of Proctologic Surgery, Temple University Medical Center, Philadelphia.

Footnotes
Presented at the 19th Annual Meeting of the Central Surgical Association, Cincinnati, Feb. 21-24, 1962.

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