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Radical colectomy for carcinoma of the colon

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Diseases of the Colon & Rectum

Conclusions

We believe that carcinoma of the colon is a multicentric organ disease and that a significant number of curable patients are lost because of the development of synchronous or metachronous tumors. These may progress to an inoperable stage before recognition.

This group of patients can be saved by a near-total colectomy at the time of the initial procedure.

More radical resection of the colon did not increase mortality or morbidity rates to a significant degree in our select group of patients. The ease of follow up by sigmoidoscopy has made it feasible to detect and treat second lesions at the earliest possible moment.

In those patients whose prognosis is good for a long life expectancy and in whom the local lesion is considered curable, near-total colectomy appears to be the operation of choice for carcinoma of the colon.

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References

  1. Ginzburg, L., and D. A. Dreiling: Successive independent (metachronous) carcinomas of the colon. Ann. Surg.143: 117, 1956.

    Article  PubMed  CAS  Google Scholar 

  2. Grinnell, R. S.: The rationale of subtotal and total colectomy in the treatment of cancer and multiple polyps of the colon. Surg., Gynec. & Obst.106: 288, 1958.

    CAS  Google Scholar 

  3. Lillehei, R. C., and O. H. Wangensteen: Bowel function after colectomy for cancer, polyps, and diverticulitis. JAMA.159: 163, 1955.

    CAS  Google Scholar 

  4. Mayo, C. W., and C. P. Schlicke: Carcinomata of the colon and rectum: A study of metastasis and recurrences. Surg., Gynec. & Obst.74: 83, 1942.

    Google Scholar 

  5. Ripstein, C. B.: Radical colectomy in the treatment of polyps of the colon.In Mulholland, J. H., E. H. Ellison, and S. R. Friesen (editors): Current Surgical Management II. A Book of Alternative Viewpoints on Controversial Surgical Problems. Philadelphia, W. B. Saunders Company, 1960, p. 42.

    Google Scholar 

  6. Ripstein, C. B.: Carcinoma of the colon. Am. J. Gastroenterol.35: 230, 1961.

    PubMed  CAS  Google Scholar 

  7. Welch, C. E.: Prophylactic surgery for cancer of the colon and rectum. JAMA.195: 108, 1966.

    Article  Google Scholar 

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Authors and Affiliations

  1. From the Department of Surgery, Brookdale Hospital Center, Brooklyn, New York

    Charles B. Ripstein M.D.

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  1. Charles B. Ripstein M.D.
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Additional information

Read at the meeting of the American Proctologic Society, Cleveland, Ohio, June 20 to 22, 1966.

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Ripstein, C.B. Radical colectomy for carcinoma of the colon. Dis Colon Rectum 10, 40–42 (1967). https://doi.org/10.1007/BF02617385

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  • DOI: https://doi.org/10.1007/BF02617385

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