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Article
July 3, 1948

SURGICAL TREATMENT OF CANCER OF THE RECTUM AND RECTOSIGMOID

JAMA. 1948;137(10):869. doi:10.1001/jama.1948.02890440045011

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Abstract

Cancer of the rectum is an easily diagnosed lesion which when extirpated radically by surgical methods has a most favorable prognosis. While there is small difference of opinion that radical surgery is the method of choice in its treatment, the rediscovery of the "pull through operation" has in recent years created a certain amount of controversy as to the type of procedure most acceptable in the majority of cases. A cursory survey of the literature of a quarter of a century ago would have revealed to the most ardent enthusiast for the sphincter-saving type of operation a paucity of data on favorable end results of such attacks.

Certainly the milestones of progress in the treatment of cancer of the rectum and sigmoid colon, beginning as long ago as 1826 and labeled with the name of the Frenchman Lisfranc, have created an interesting vista of experience on which to look back.

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