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Article
April 8, 1893

SURGICAL THERAPY OF RECTAL CANCER.

JAMA. 1893;XX(14):382-383. doi:10.1001/jama.1893.02420410006001d
Abstract

The comparative values of the different operations for rectal cancer—tentative and radical—may be gathered from the published records of various surgeons.

In the London Hospital, from 1872 to 1880, thirteen colotomies for cancer were performed, with nine deaths. During the same time, says Cripps, twentysix such operations were performed at Guy's Hospital, with eleven deaths—a mortality of about 42 per cent. It does not appear whether this was an operative mortality, or whether those were simply classified under "mortality" who died before leaving the hospital. Allingham gives twenty-seven colotomies, with a mortality of 11 per cent.

Cripps says of colotomy, that in some it affords relief from pain, while in others it has failed to do any good. Of course, in complete intestinal obstruction, a colotomy must be done.

Of later years, in France, Pinault, Velpeau, Récamier, Massé, Chassaignac, Maisonneuve, and in Germany Freinonze, Nussbaum and Schuh, revived the operation

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