Summary
There were 50 primary cases of carcinoma of the splenic flexure at Memorial Hospital in the period from 1950 to 1966. Of the 50 patients, 31 were men and 19 were women. Curative resection was performed in 38 cases. palliative resection in nine, a bypass operation in one, and a transverse colostomy in one. The five-year survival of the patients without distant metastases (Dukes' A, B, and C) was significantly inferior when compared with that of the overall colonic-cancer group, 50 and 69.25 per cent, respectively. Splenectomy and distal pancreatectomy in resection of carcinoma of the splenic flexure did not seem to improve five-year survival. Pathologic study of the removed spleens and pancreases failed to reveal metastases.
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References
Bacon HE, Gennaro AR: Carcinoma of the transverse colon and the splenic flexure. Surg Gynecol Obstet 127: 523, 1968
Bacon HE, Recio PM: Surgical Anatomy of the Colon, Rectum and Anal Canal. Philadelphia, J. B. Lippincott Company, 1962, p 38
Jamieson JK, Dobson JF: The lymphatics of the colon. Proc R Soc Med 2: 149, 1909
Popper H: Newr aspects of the pathology of the colon. J Int Coll Surg 17: 286, 1952
Stearns MW Jr, Schottenfeld D: Techniques for the surgical management of colon cancer. Cancer 28: 165, 1971
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Read at the meeting of the American Proctologic Society, New York, New York, June 11 to 14, 1972.
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Khafagy, M.M., Stearns, M.W. Carcinoma of the splenic flexure. Dis Colon Rectum 16, 504–507 (1973). https://doi.org/10.1007/BF02588878
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DOI: https://doi.org/10.1007/BF02588878