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January 1960

Adenocarcinoma of the Rectum: A Fifteen-Year Study with Evaluation of the Results of Curative Therapy

Author Affiliations

From the Department of Surgery, University of Minnesota Medical School.

AMA Arch Surg. 1960;80(1):135-143. doi:10.1001/archsurg.1960.01290180137017

Lisfranc, in 1826, apparently was the first to successfully excise a rectal carcinoma.1 In the years which have followed, a number of dramatic changes have occurred in both medical and surgical therapy, as well as modifications in the basic plans of surgical excision procedures.

What was perhaps one of the most recent significant advances in rectal cancer surgery occurred in 1908 with the report by W. E. Miles of the results of therapy of the first 12 rectal cancer cases with his new operation.2 This, the 50th anniversary of the introduction of the Miles abdominoperineal operation, would appear to be an appropriate time for consideration of the curative accomplishments of present-day rectal cancer surgery.

A total of 693 patients were seen at the University of Minnesota Hospitals, 1940-1955, with adenocarcinoma of the rectum. This group of patients comprises a portion of a larger series of 1,340 cases of

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