BEIRUT — Syrian President Bashar Assad defended his government's crackdown on opponents Sunday, saying a doctor performing messy emergency surgery does not have blood on his hands if he is trying to save a patient.
In his first speech since January, Assad appeared unmoved by scathing international criticism of his ferocious response to the 15-month-old revolt against his rule, which has killed up to 13,000 people, according to activist groups. He also denied responsibility for last week's Houla massacre of more than 100 people, saying not even "monsters" would carry out such an ugly crime.
He said terrorists have pushed his country into war.
"When a surgeon in an operating room ... cuts and cleans and amputates, and the wound bleeds, do we say to him your hands are stained with blood?" Assad said in a televised speech to parliament. "Or do we thank him for saving the patient?"
Assad insisted the revolt was the work of foreign-backed extremists — not reformers seeking change.
Although the country has faced widespread international condemnation since Syrian troops unleashed a relentless crackdown on protesters last year, a massacre last week in the central region of Houla has brought fresh urgency to solving the crisis.
The opposition and the government have exchanged accusations over the Houla killings, each blaming the other for the house-to-house killings of more than 100 people, many of them small children. U.N. investigators have said there are strong suspicions that pro-regime gunmen are responsible for at least some of the killings.
Assad denied his forces had anything to do with Houla.
"Not even monsters would carry out (the crimes) that we have seen, especially the Houla massacre. ... There are no Arabic or even human words to describe it," he said in his first public comments about the mass killing.
Assad did acknowledge the toll the crisis has taken on the country, suggesting all the blood that has been spilled is necessary to root out the forces working to drive him from power.
"Today we are defending a cause and a country," he said. "We do not do this because we like blood. A battle has been forced on us, and the result is this bloodshed that we are seeing."
Members of the Syrian opposition brushed off his comments as meaningless.
"It is a desperate and silly speech that does not merit a response," said Adib Shishakly, a Saudi-based member of Syria's main opposition group, the Syrian National Council. "He didn't offer anything to the Syrian people during the 70 minutes he spoke."
Shishakly, the grandson of a former president of Syria, described Assad's statements on the Houla massacre as "lies to justify the killings because of the immense international pressure on his regime."
The U.S. has taken advantage of the global outrage over Houla to reach out to Syria's most important ally and protector, Russia, to join a coordinated effort to resolve the deadly conflict. Russia has provided a layer of protection for Damascus, refusing to support any move that could lead to foreign intervention in Syria.
A Russian Foreign Ministry statement issued Sunday said Russia was awaiting the results of the investigation into the massacre at Houla and was "disturbed that some countries went ahead and cast blame."
U.S. Secretary of State Hillary Rodham Clinton on Sunday pressed Russia to join international efforts for a political transition in Syria that would see Assad driven from power, and suggested greater flexibility could come from a previous recalcitrant Moscow.
America's top diplomat told reporters in Sweden that she made clear in a telephone conversation this weekend with Russian Foreign Minister Sergey Lavrov that Moscow must do its part to help Syria turn the page after four decades under the Assad family control.