The Management of Perforative Carcinoma of the Colon

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Abstract
FOR many years the general principles of surgical procedure in the management of carcinoma of the colon have been recognized and practiced. The results of treatment are now available, and the significance of various prognostic factors is known. These operative methods have been based on an intimate knowledge of the blood supply and lymphatic drainage of the various segments of the bowel, and more recently on control of operative dissemination of malignant cells through veins and through the bowel lumen itself. The matter of spread by direct extension, with resulting perforation of the carcinoma into free peritoneum or local adjacent . . .