What are the indications for total abdominal colectomy with ileorectal anastomosis for the treatment of colon cancer?

Updated: Apr 15, 2020
  • Author: Tomislav Dragovich, MD, PhD; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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Total abdominal colectomy with ileorectal anastomosis may be required for patients with any of the following:

  • Hereditary nonpolyposis colon cancer syndrome (HNPCC; Lynch syndrome)

  • Attenuated familial adenomatous polyposis (FAP)

  • Metachronous cancers in separate colon segments

Total abdominal colectomy may also be indicated for some patients with acute malignant colon obstructions in whom the status of the proximal bowel is unknown.

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