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CA: A Cancer Journal for Clinicians, Vol 18, 82-87, Copyright © 1968 by American Cancer Society

Cancer of the Colon: The Influence of the No-Touch Isolation Technic on Survival Rates

¹ Member of the staff, Department of General Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio.
² Surgeon, Royal Victoria Hospital, Belfast, Ireland; John M. Wilson Memorial Cancer Research Fellow, The Cleveland Clinic Foundation, 1965.
³ Associate Research Statistician, Ellis Fischel State Hospital and Cancer Research Center; Associate Professor, Community Health and Medical Practice, University of Missouri, Columbia, Missouri.
⁴ Chief Surgeon, Ellis Fischel State Cancer Hospital; Professor of Surgery, University of Missouri.

It has been suggested that operative manipulation of a cancer-bearing segment of colon will increase the incidence of fatal metastasis.

A technic for removal of the cancer bearing segment referred to as notouch isolation was utilized in 460 patients who underwent "resection for cure." The age-corrected five-year survival rate is 81.6 per cent.

The evidence suggests that the greatly improved survival rates are due to the use of the no-touch isolation resection method and that the heretofore conventional manipulative resection technics for cancer of the colon should be abandoned.