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ANTERIOR RESECTION FOR CANCER OF THE RECTOSIGMOID

ANTERIOR RESECTION FOR CANCER OF THE RECTOSIGMOID Abstract It is well established that abdominoperineal resection in one or more stages is the operation of choice for cancer of the rectum. Less extensive procedures are justifiable only when the radical operation is specifically contraindicated. However, when one is dealing with cancer of the rectosigmoid, the situation is less clear, for it is possible that in selected cases anterior resection of the rectum followed either by anastomosis or by closure of the rectal stump with permanent colostomy may prove equally satisfactory. Anterior resection offers hope of avoiding permanent colostomy and since it is a less extensive procedure, should have a lower operative mortality. The rectosigmoid is that portion of the large intestine in which the narrow sigmoid colon undergoes a gradual enlargement before joining the rectum. Its exact position is variable. By some it has been estimated to be about 2 inches (5 cm.) above the superior valve of Houston. References 1. Pemberton, J. de J., and Dixon, C. F.: Summary of End-Results of Treatment of Malignancy of Thyroid Gland and Colon, Including Rectum and Anus , Surg., Gynec. & Obst. 58:462 (Feb.. no. (2A) ) 1934. 2. Rankin, F. W., and Graham, A. S.: Cancer of the Colon and Rectum . Springfield, Ill., Charles C. Thomas, Publisher, 1939. 3. Horsley, J. S.: Resection of the Rectosigmoid and Upper Rectum for Cancer, with End-to-End Union , Surg., Gynec. & Obst. 64:313 (Feb., no. (2A) ) 1937. 4. Dixon, C. F.: Surgical Removal of Lesions Occurring in the Sigmoid and Rectosigmoid , Am. J. Surg. 46:12 ( (Oct.) ) 1939. 5. Lahey, F. H., and Cattell, R. B.: Two-Stage Abdominoperineal Resection of the Rectum and Rectosigmoid for Carcinoma , Am. J. Surg. 27:201 ( (Feb.) ) 1935. 6. Cheever, D.: The Choice of Operation in Carcinoma of the Colon , Ann. Surg. 94:705 ( (Oct.) ) 1931. 7. Devine, H.: Excision of Rectum , Brit. J. Surg. 25:351 ( (Oct.) ) 1937. 8. Cutler, E. C., and Zollinger, R.: Atlas of Surgical Operations , New York, The Macmillan Company, 1939. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

ANTERIOR RESECTION FOR CANCER OF THE RECTOSIGMOID

Archives of Surgery , Volume 43 (6) – Dec 1, 1941

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Publisher
American Medical Association
Copyright
Copyright © 1941 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1941.01210180145005
Publisher site
See Article on Publisher Site

Abstract

Abstract It is well established that abdominoperineal resection in one or more stages is the operation of choice for cancer of the rectum. Less extensive procedures are justifiable only when the radical operation is specifically contraindicated. However, when one is dealing with cancer of the rectosigmoid, the situation is less clear, for it is possible that in selected cases anterior resection of the rectum followed either by anastomosis or by closure of the rectal stump with permanent colostomy may prove equally satisfactory. Anterior resection offers hope of avoiding permanent colostomy and since it is a less extensive procedure, should have a lower operative mortality. The rectosigmoid is that portion of the large intestine in which the narrow sigmoid colon undergoes a gradual enlargement before joining the rectum. Its exact position is variable. By some it has been estimated to be about 2 inches (5 cm.) above the superior valve of Houston. References 1. Pemberton, J. de J., and Dixon, C. F.: Summary of End-Results of Treatment of Malignancy of Thyroid Gland and Colon, Including Rectum and Anus , Surg., Gynec. & Obst. 58:462 (Feb.. no. (2A) ) 1934. 2. Rankin, F. W., and Graham, A. S.: Cancer of the Colon and Rectum . Springfield, Ill., Charles C. Thomas, Publisher, 1939. 3. Horsley, J. S.: Resection of the Rectosigmoid and Upper Rectum for Cancer, with End-to-End Union , Surg., Gynec. & Obst. 64:313 (Feb., no. (2A) ) 1937. 4. Dixon, C. F.: Surgical Removal of Lesions Occurring in the Sigmoid and Rectosigmoid , Am. J. Surg. 46:12 ( (Oct.) ) 1939. 5. Lahey, F. H., and Cattell, R. B.: Two-Stage Abdominoperineal Resection of the Rectum and Rectosigmoid for Carcinoma , Am. J. Surg. 27:201 ( (Feb.) ) 1935. 6. Cheever, D.: The Choice of Operation in Carcinoma of the Colon , Ann. Surg. 94:705 ( (Oct.) ) 1931. 7. Devine, H.: Excision of Rectum , Brit. J. Surg. 25:351 ( (Oct.) ) 1937. 8. Cutler, E. C., and Zollinger, R.: Atlas of Surgical Operations , New York, The Macmillan Company, 1939.

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1941

References