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EVALUATION OF CONSERVATIVE RESECTION: With End to End Anastomosis for Carcinoma of the Rectum and Lower Sigmoid Colon

EVALUATION OF CONSERVATIVE RESECTION: With End to End Anastomosis for Carcinoma of the Rectum and... Abstract THIS PAPER is not a crusade for resection of the rectum with restoration of continuity. It is an honest endeavor to assess the place of conservative resection, if any, in the operative therapy of rectal carcinoma. Certain facts are presented, and certain conclusions are drawn. Facts cannot be questioned, but conclusions should be critically assessed. There are two basic arguments against anterior resection with end to end anastomosis as a means of dealing with carcinomas of the rectosigmoid and upper part of the rectum. One might be termed anatomic: the question of the blood supply of the upper end of the rectal stump after division of the superior hemorrhoidal artery. It has been established beyond question that, if the resection is carried down to the level of the levator ani muscles, the rectum distal to this has a perfectly adequate blood supply apart from the superior hemorrhoidal artery. One cannot, References 1. Coller, F. A.; Kay, E. B., and MacIntyre, R. S.: Regional Lymphatic Metastasis of Carcinoma of Rectum , Surgery 8:294, 1940. 2. Gilchrist, R. K., and David, V. C.: Lymphatic Spread of Carcinoma of the Rectum , Ann. Surg. 108:621, 1938.Crossref 3. Gilchrist, R. K., and David, V. C.: Prognosis in Carcinoma of the Bowel , Surg., Gynec. & Obst. 86:359 ( (March) ) 1948. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

EVALUATION OF CONSERVATIVE RESECTION: With End to End Anastomosis for Carcinoma of the Rectum and Lower Sigmoid Colon

Archives of Surgery , Volume 57 (3) – Sep 1, 1948

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1948 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1948.01240020367007
Publisher site
See Article on Publisher Site

Abstract

Abstract THIS PAPER is not a crusade for resection of the rectum with restoration of continuity. It is an honest endeavor to assess the place of conservative resection, if any, in the operative therapy of rectal carcinoma. Certain facts are presented, and certain conclusions are drawn. Facts cannot be questioned, but conclusions should be critically assessed. There are two basic arguments against anterior resection with end to end anastomosis as a means of dealing with carcinomas of the rectosigmoid and upper part of the rectum. One might be termed anatomic: the question of the blood supply of the upper end of the rectal stump after division of the superior hemorrhoidal artery. It has been established beyond question that, if the resection is carried down to the level of the levator ani muscles, the rectum distal to this has a perfectly adequate blood supply apart from the superior hemorrhoidal artery. One cannot, References 1. Coller, F. A.; Kay, E. B., and MacIntyre, R. S.: Regional Lymphatic Metastasis of Carcinoma of Rectum , Surgery 8:294, 1940. 2. Gilchrist, R. K., and David, V. C.: Lymphatic Spread of Carcinoma of the Rectum , Ann. Surg. 108:621, 1938.Crossref 3. Gilchrist, R. K., and David, V. C.: Prognosis in Carcinoma of the Bowel , Surg., Gynec. & Obst. 86:359 ( (March) ) 1948.

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1948

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