Audit and the birth of the abdomino-perineal excision for carcinoma of the rectum

ANZ J Surg. 2003 Oct;73(10):858-61. doi: 10.1046/j.1445-2197.2003.02786.x.


Sir Ernest Miles first performed his radical abdomino-perineal excision for carcinoma of the rectum in 1907. This event was the culmination of almost a decade of audit in which he carefully studied the outcomes of patients with rectal carcinoma. Miles's interpretation of his audit led, in a stepwise manner, to gradual changes in his operative technique and the eventual development of the radical abdomino-perineal operation; the operation that bears his name. The Miles operation and the principles upon which it is based, would lead to an improved outcome for patients with rectal carcinoma.

Publication types

  • Biography
  • Historical Article
  • Portrait

MeSH terms

  • Carcinoma / history*
  • Carcinoma / surgery
  • Colorectal Surgery / history*
  • History, 19th Century
  • History, 20th Century
  • Humans
  • Rectal Neoplasms / history*
  • Rectal Neoplasms / surgery
  • United Kingdom

Personal name as subject

  • Ernest Miles