Review of the pull-through operation for rectal cancer

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The pull-through operation is a good operative means of treating rectal cancer, and it will not be entirely discarded even with the development of methods of extremely low anastomoses.

This has been a recital of “ancient” surgical history in some respects, because today a fair number of these patients would have had anterior resections or the Miles procedure.

Furthermore, the radicality of this operation may be open to question: because the inferior mesenteric artery is not ligated at its origin, some of the sigmoidal mesentery remains. In 5 per cent of cases, however, the marginal artery of Drummond does not supply enough blood to the pulled-through segment when the inferior mesenteric artery is ligated at its origin.

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