Surgery

Surgery

Early surgical techniques were radical, removing both the cancer and surrounding healthy tissue, often resulting in long recovery times, life-changing disability, and in some cases, severe cosmetic disfigurement. Today's surgical techniques and technologies are more precise with fewer complications. Women with early-stage breast cancer can now avoid disfiguring mastectomies, people with colon and rectal cancer can maintain their bowel function, and men with prostate cancer can often avoid incontinence and loss of sexual function.

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1884

Radical mastectomy ushers in more aggressive surgical approaches for cancer

Radical mastectomy ushers in more aggressive surgical approaches for cancer

Baltimore surgeon William Halsted pioneers a new approach to removing breast tumors, radical mastectomy, in which the entire breast and the surrounding lymph nodes and chest muscles are removed. This helps reduce recurrences of the disease, which was previously nearly always fatal. Halsted's work also leads to similar approaches for other cancers, in which both the tumor and surrounding tissue are removed. These techniques are still an important part of treatment for some cancers today. For breast cancer, however, surgeries have become far more conservative and effective, enabling many women to avoid mastectomy altogether.

1881

First successful surgery performed for stomach cancer

First successful surgery performed for stomach cancer

In 1881, the Austrian physician Theodore Billroth partially removes the stomach of a 43-year old woman suffering from a gastric obstruction. Sixteen years later, Carl Schlatter takes the surgery further and completes the first total gastrectomy, or complete removal of the stomach.

For nearly a century afterward, gastrectomy remains the only treatment available for gastric cancer. While it offers a chance of cure for patients whose tumors have not spread, patients are limited to eating only small amounts of food at a time and are at risk for vitamin B deficiency, chronic low blood sugar and anemia.

1846

Advent of general anesthesia opens the door for modern cancer surgery

Advent of general anesthesia opens the door for modern cancer surgery

In October 1846, a Boston dentist named William T.G. Morton provides the first public demonstration of ether as a general anesthetic, allowing surgeons to remove a tumor from a patient's jaw without pain. This advance gains immediate and widespread attention, ultimately eliminating the excruciating pain experienced by surgical patients until that time, and making the modern era of surgery possible.