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Introduction to Surgery

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Abstract

This chapter describes the evolution in colorectal cancer surgery since the end of the nineteenth century to the beginning of the twenty-first century. The most dramatic changes came in the 1950s when antibiotic and thromboembolic prophylaxis was introduced. Later the knowledge of the negative side effects of bowel preparation was obvious. However, the most important change was when the whole idea to operate in the embryological plane became evident. It was first demonstrated in rectal cancer surgery and later in colonic cancer surgery. During the last three decades, laparoscopic surgery for bowel cancer has been tested, and so far the evidence indicates that a colonic cancer can be treated equally good with a laparoscopic approach as an open one. For rectal cancer the results from randomised trials are still awaited. During the last two decades, reports on the importance of auditing the outcome have become very evident.

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Correspondence to Lars Påhlman MD, PhD .

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Påhlman, L. (2015). Introduction to Surgery. In: Baatrup, G. (eds) Multidisciplinary Treatment of Colorectal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-06142-9_3

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  • DOI: https://doi.org/10.1007/978-3-319-06142-9_3

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