Apanemia Health Centre

Operations for colon cancer is relatively standardized. Magnitude of the operation may of course be weighed against the patient’s condition in general. Quality of life aspects must be considered.

With careful surgical technique and improved investigation and additional treatment should be long-term prognosis for colon cancer could be improved in the same way as we, in recent years have seen for rectal cancer.

Right-sided colon cancer

Surgery with right-sided hemikolektomi. A few cm of distal ileum and the entire right colon to the middle or more of the transverse colon included. A. ileocolica ligeras at departure from a. mesenterica superior and a. colika Dextra, or a. colika media, is also shared centrally. Importantly, the corresponding veins also shared key and the whole fat package with the area’s lymph nodes should be included. Anastomosis is performed with hand-sewn technique or bars.

Cancer of the colon, transverse

Are relatively rare and may, if it is the central location, surgery with resection of the transverse and otherwise with enlarged right-sided or left-sided hemikolektomi. A. colika ligeras media center.

Sigmoideumcancer

Can be operated with left-sided hemikolektomi in the same manner as above. There is also some support for a more limited surgery with sparing of a. colika sinistra may be sufficient. At low sigmoideumcancer, however, high anterior resection of rectum with division of a. rectalis superior added to obtain sufficient distal margin and lymfbaneutrymning.

Emergency surgery

Emergency surgery due to colon cancer are determined mostly by the obstruction or perforation. Naturally enough, these tumors are often more advanced and the prognosis for survival is slightly worse. These operations are more difficult than in the elective situation and should if possible be carried out during the day and with the participation of experienced colorectal surgeons. The patient is often operable and must be optimized carefully preoperatively.

The surgical principles for emergency surgery are the same as in the elective situation. In the case of left-sided cancers can sometimes, especially when disseminated peritonitis, an operation with a temporary colostomy may be necessary. Tumor segment is, however, that principle is removed at primary surgery (except for rectal cancer).

Palliative surgery

Surgery may be an important part of treatment, even if the bot can not be achieved. A primary tumor can be removed or, where appropriate, a stenosing segments bypassed with an internal shunt, or a stoma can be presented.
An endoscopic added stents may in some cases be sufficient local treatment of generalized disease.

Laparoscopic surgery

Laparoscopic surgery is used in several places with good results, but has not yet been seen on a large scale as it is resource intensive, especially initially, and the benefits to date have been limited mainly to fewer scars.