What are the American Society of Colon and Rectal Surgeons surgical guidelines for 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

The American Society of Colon and Rectal Surgeons practice parameters for the management of colon cancer recommend colectomy as the primary treatment for localized resectable colon cancer. [163]

Additional recommendations are as follows:

  • The extent of resection of the colon should correspond to the lymphovascular drainage of the site of the colon cancer; the lymphadenectomy should be complete and en bloc with the bowel segment
  • Clinically positive lymph nodes located outside the standard field of resection that are suspected to contain metastatic disease should be biopsied or removed at the time of primary resection
  • Resection of involved adjacent organs should be en bloc

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