Hargrove W C, Gertner M H, Fitts W T
Surg Gynecol Obstet. 1979 Jun;148(6):931-3.
Kraske's methodology was classic: develop the operation in the laboratory, try it initially on patients as a last resort and, if it works, expand its use to patients with less severe disease. His operation immediately gained acceptance and was popular for the next quarter of a century. It was subsequently modified by Hochenagg, Billroth and Rydygier. These men merely altered the amount or manner of sacral removal. The operation was largely abandoned after Miles (3) showed that the lymphatic spread from carcinoma of the rectum is toward the liver. Kraske's procedure, however, stands as a landmark in preantibiotic operations on the colon. Combined with abdominal exploration, this type of procedure can be used to preserve the anus in certain instances of carcinoma of the rectum today.
在实验室里开展手术，最初仅在万不得已时用于患者，若手术成功，则将其应用范围扩大到病情较轻的患者。他的手术很快就被接受，并在接下来的四分之一个世纪里广受欢迎。随后，霍赫纳格、比尔罗特和里迪吉尔对其进行了改良。他们只是改变了骶骨切除的量或方式。在迈尔斯证明直肠癌的淋巴转移是朝向肝脏之后，这种手术在很大程度上被放弃了。然而，克拉斯克的手术方法在抗生素出现之前的结肠手术中堪称一个里程碑。如今，结合腹部探查，这种手术方法在某些直肠癌病例中可用于保留肛门。
