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June 21, 1947

Traitement chirurgical du cancer du rectum

JAMA. 1947;134(8):741. doi:10.1001/jama.1947.02880250089033

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In this volume the author and his co-workers discuss the results of treatment of 263 patients suffering from carcinoma of the rectum. The study covers a period of ten years. The first chapter deals with anatomic considerations and is devoted chiefly to information gained from the writings of leading authorities on the subject of lymphatics. In chapter two the authors discuss diagnosis and various factors which they believe important in determining the operability of malignant lesions. A clear statement is provided regarding operability when preservation of the sphincters is desirable. The advantages and disadvantages of the various operative procedures especially of those employed to preserve the sphincteric mechanism of the anus and of palliative procedures are explained. In chapter three the technics of operative procedures are presented. In the authors' series 92 per cent of the patients were considered to have operable lesions, and a radical operation was performed in

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