Publisher's Synopsis
Excerpt from Practical Intestinal Surgery, Vol. 2
Luecke of Strasburg, who did eight operations, with seven recoveries. It was an unsafe operation under the old method of time-consuming suturing, but mod ern aggressive surgery, with its plates and rings, can do the whole operation in thirty minutes, making it a safe and reliable procedure. When we consider that 35 per cent. Of all cancers attack the stomach, and of all stomachic cancers, 60 per cent. Attack the pylorus, then the operation rises to supreme importance. It appears reasonable that gastro-enterostomy should be substituted for pylorectomy in cancer of the pylorus, for autopsies demonstrate that one-quarter of pyloric cancers exhibit carcinomatous deposits in the liver. In such cases the dangerous pylorectomy is almost useless, while the safer and more easily performed gastro-enterostomy will relieve indescribable suffer ing to the end of life. Even for non-malignant neo plasms, stenosis, and occlusions of pylorus, gastro enterostomy has all the advantages of pylorectomy in physiological processes, besides less shock and violence to the system, as well as a supremely significant short operation. Time, and plates and rings, are the ele ments of success in intestinal anastomosis. I con sider the plates and rings just as applicable to man as to other Ianimals. The rock and base of gastro enterostomy has already been successfully laid in animal experimentation.
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