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Article
March 1930

CARCINOMA OF THE LARGE BOWEL NOT INCLUDING THE RECTUM AND THE RECTOSIGMOID: CHOICE OF OPERATIVE PROCEDURE

Author Affiliations

WOODLAND, CALIF.
From the Department of Surgery, Woodland Clinic.

Arch Surg. 1930;20(3):491-507. doi:10.1001/archsurg.1930.01150090138008
Abstract

Operation for radical cure of carcinoma of the large bowel is a hazardous procedure. The early mortality was high but has been lowered slowly by the development of the stage operations as well as by proper preoperative preparation and postoperative care. Further decrease in operative mortality and increase in postoperative longevity can be accomplished by standardization of operative procedures. This can be accomplished only when the factors relative to death following operation and to the recurrence of carcinoma are generally known. The factors vary with the locations of the lesions in the large bowel.

GENERAL CHARACTERISTICS 

Incidence.  —It is interesting to note the incidence of carcinoma of the large bowel compared to that of other parts of the body. By statistics this is shown to be increasing. In a series of nearly 70,000 autopsies, Nothnagel, Azerman, Muehler and Madyl found 5,796 deaths from carcinoma. One fourth of the cancers causing

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