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A Radical Combined Operation for Cancer of the Head and Neck: A Study of the Operative Mortality and Morbidity

A Radical Combined Operation for Cancer of the Head and Neck: A Study of the Operative Mortality... Abstract The purpose of this report is to record the operative mortality and morbidity associated with a specific major operation of the head and neck, consisting of a radical neck dissection, resection of a portion of the mandible, and excision of the intraoral primary lesion, all performed in continuity ("commando" *). The study underscores the fact that the prohibitive mortality and morbidity formerly associated with such procedures (during the 1920's and 1930's) no longer exist. Advances in medicine during the last two decades, particularly chemotherapy, antibiotics, blood banks, and newer techniques of anesthesia and surgery have made a low mortality and morbidity possible. CLINICAL MATERIAL The cases in this study represent all the "commandos" performed at Memorial Center, New York, during the one-year period from Jan. 1, 1950, through Dec. 31, 1950. There were 114 patients so treated during this period.No cases were excluded, and there was no attempt at selection. References 1. For want of a better term, these operations were given the name "commando" by the house staff at The Memorial Center, New York, in 1942, at the time of the combined Commando operations against Dieppe. 2. Crile, G. W.: Excision of Cancer of the Head and Neck, with Special Reference to the Plan of Dissection Based on 132 Operations , J. A. M. A. 47:1780-1786, 1906.Crossref 3. Crile, G. W.: Carcinoma of the Jaws, Tongue, Cheek, and Lips: General Principles Involved in Operations and Results Obtained at Cleveland Clinic , Surg., Gynec. & Obst. 36:159-162, 1923. 4. Martin, H.; Del Valle, B.; Ehrlich, H., and Cahan, W. G.: Neck Dissection ; Cancer 4:441-499, 1951. 5. Martin, H.: Radical Surgery in Cancer of the Head and Neck , S. Clin. North America 33:329-350, 1953. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

A Radical Combined Operation for Cancer of the Head and Neck: A Study of the Operative Mortality and Morbidity

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1955.01270170064010
Publisher site
See Article on Publisher Site

Abstract

Abstract The purpose of this report is to record the operative mortality and morbidity associated with a specific major operation of the head and neck, consisting of a radical neck dissection, resection of a portion of the mandible, and excision of the intraoral primary lesion, all performed in continuity ("commando" *). The study underscores the fact that the prohibitive mortality and morbidity formerly associated with such procedures (during the 1920's and 1930's) no longer exist. Advances in medicine during the last two decades, particularly chemotherapy, antibiotics, blood banks, and newer techniques of anesthesia and surgery have made a low mortality and morbidity possible. CLINICAL MATERIAL The cases in this study represent all the "commandos" performed at Memorial Center, New York, during the one-year period from Jan. 1, 1950, through Dec. 31, 1950. There were 114 patients so treated during this period.No cases were excluded, and there was no attempt at selection. References 1. For want of a better term, these operations were given the name "commando" by the house staff at The Memorial Center, New York, in 1942, at the time of the combined Commando operations against Dieppe. 2. Crile, G. W.: Excision of Cancer of the Head and Neck, with Special Reference to the Plan of Dissection Based on 132 Operations , J. A. M. A. 47:1780-1786, 1906.Crossref 3. Crile, G. W.: Carcinoma of the Jaws, Tongue, Cheek, and Lips: General Principles Involved in Operations and Results Obtained at Cleveland Clinic , Surg., Gynec. & Obst. 36:159-162, 1923. 4. Martin, H.; Del Valle, B.; Ehrlich, H., and Cahan, W. G.: Neck Dissection ; Cancer 4:441-499, 1951. 5. Martin, H.: Radical Surgery in Cancer of the Head and Neck , S. Clin. North America 33:329-350, 1953.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Nov 1, 1955

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