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May 12, 1945

COMPLICATIONS IN THE SURGICAL TREATMENT OF CARCINOMA OF THE LARGE BOWEL

JAMA. 1945;128(2):73-77. doi:10.1001/jama.1945.02860190009003
Abstract

In 712 operations for colonic cancer we have found such operative complications as atelectasis, pneumonia, parotitis, coronary occlusion, pulmonary thrombosis and phlebitis infrequent, or at least not relatively increased. Using spinal anesthesia with associated infusion or transfusion and oxygen inhalation, shock has been rare and in no case of such intensity as to prevent the completion of the operation. No serious anesthetic or diabetic complication has occurred. In the postoperative period one elderly man twice developed precordial oppression when 180 cc. of 5 per cent glucose solution had been given; the second time permanent cardiac arrest occurred suddenly when 220 cc. had been given.

OPERATIONS  In our series the operations used have undergone considerable evolution. Patients with such advanced peritoneal involvement that resection is out of the question are closed with layer sutures of alloy steel wire and encouraged to be out of bed two or three days after the

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