On the radical operation for cancer of the pylorus - With especial reference to the advantages of the two stage operation and to the question of the removal of the associated lymphatics
On the radical operation for cancer of the pylorus - With especial reference to the advantages of the two stage operation and to the question of the removal of the associated lymphatics
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DOI：
10.1136/bmj.1.2563.366
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发表时间：
1910-01-01
影响因子：
--
通讯作者：
Groves, EWH
中科院分区：
文献类型：
--
作者：
Groves, EWH
offered the chances of radical treatment, and of these few the majority are too advanced in disease to have more than a palliative operation per-formed. Of those who actually have their disease removed, a consider-able proportion die as the result of the operation, and, of those who recover, many succumb to recurrence almost as soon as if they had never been treated.If we concentrate our attention upon the few ideal cases which come to the surgeon in good time, we are impressed with the splendid thing that surgery can do for cancer of the stomach. But if we take a large view of the disease in the aggregate of all its victims, we must be depressed by the very little that is done. The reasons for this deplor-able state of affairs isnot far to seek. The blame-if blame there beattaches almost equally to the public, the general medical practitioners, and to the surgeons. The public and the medicalpractitioners do not believe in the possibility of radical cure of the disease. Consulting physicians waste valuable time in employing various recondite methods of diagnosis. The surgeon is too often only called in as a last desperate resort, when neither sophistry nor science can any longer doubt that the patient is in the clutch of a rapidly fatal disease. And the surgeon, with the few cases that do eventually reach him, is tempted to perform palliative operations on patients that had better be left to the solace of morphia, and to attempt radical operations in patients too ill to recover from them, or inwhom total removal of the diseased area is impossible. And the physicians, general practitioners, and public are likely to be more impressed by the deaths and recurrences than by the successes, especially as the former tend to confirm their adverse prejudices against surgery.
