What are the surgical options to treat colon cancer?

Updated: Apr 15, 2020
  • Author: Tomislav Dragovich, MD, PhD; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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Answer

Surgery is the only curative modality for localized colon cancer (stage I-III). Surgical resection potentially provides the only curative option for patients with limited metastatic disease in liver and/or lung (stage IV disease). Surgical options include the following:

  • Right hemicolectomy: For lesions in the cecum and right colon

  • Extended right hemicolectomy: For lesions in the proximal or middle transverse colon

  • Left hemicolectomy: For lesions in the splenic flexure and left colon

  • Sigmoid colectomy: For sigmoid colon lesions

  • Total abdominal colectomy with ileorectal anastomosis: For selected patients with hereditary nonpolyposis colon cancer, attenuated familial adenomatous polyposis, metachronous cancers in separate colon segments, or acute malignant colon obstructions with unknown status of the proximal bowel


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