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ObituariesLord Smith of MarlowJohn AitkenJames (“Jimmy”) George LedinghamRobert (“Bob”) MurrayArthur Salmon (“Sam”) WigfieldJohn Frederick Wilkinson

BMJ 1999; 318 doi: (Published 09 January 1999) Cite this as: BMJ 1999;318:129

Lord Smith of Marlow

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Former consultant surgeon St George's Hospital, London (b London 1914,the only son of a general practitioner and coroner in south London; q St Thomas's 1937; MS, FRCS; KBE), d 1July 1998.Rodney Smith had a remarkable career as a surgeon, teacher, and administrator. After a distinguished time as a student at St Thomas's, where he also excelled at cricket (playing for the Surrey County 2nd XI), he embarked on a surgical career, training partly under the formidable and eccentric Philip Mitchener. Appointed surgical registrar at the Middlesex Hospital he was greatly influenced by (Lord) Webb-Johnson and (Sir Gordon) Gordon-Taylor. From 1941 to 1945he served as a surgical specialist in the Royal Army Medical Corps, working in field units in Palestine, Egypt, and north Africa and being wounded at Anzio. In 1946he was appointed to the staff at St George's, at a time when, like several other London teaching hospitals, that hospital did not usually fill its posts with outsiders.

He built an international reputation

At St George's he built up an international reputation in abdominal, particularly hepatobiliary and pancreatic, surgery. His skill in dealing with difficult cases of pancreatic cancer, postoperative biliary fistulae, retained calculi, bile duct strictures, and so on became legendary, and he devised mucosal hepatico-jejunostomy for hilar biliary strictures. He was that surgical precious rarity: a surgeon who could make a difficult operation look easy. To watch him dissect with apparent effortlessness an abdomen that had been subjected to several laparotomies was a sight that no surgeon could forget. His lectures and writings were models of clarity, and with Charles Rob he edited the multivolume Operative Surgery, which soon became a standard reference.

Rodney Smith devoted much of his energy to the Royal College of Surgeons, serving as Penrose May Tutor and dean of the Institute of Basic Medical Sciences, and being …

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