Abstract

The concept of radical cancer surgery is about 150 years old and was developed at a time when patients presented with large tumours and surgery was the only treatment option available. The belief that the more extensive the operation, the greater the chance for cure peaked at the end of the first half of the 20th century. Gradually, however, surgeons tried to maintain the same oncological outcomes with less mutilating resections, often combining surgery and radiotherapy, and sometimes even with radiotherapy as the primary approach and surgery as the backup plan.

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