Overview of colon resection
- Miguel A Rodriguez-Bigas, MD
Miguel A Rodriguez-Bigas, MD
- Professor of Surgery
- MD Anderson Cancer Center
Colon resection is needed to manage a variety of malignant and benign colon lesions, including trauma. Planning colon resection needs to take into account the nature of the lesion and its location within the colon.
The general issues surrounding resecting the colon are reviewed here. Techniques for colon resection are reviewed separately. (See "Right and extended right colectomy: Open technique" and "Left colectomy: Open technique".)
INDICATIONS FOR COLON RESECTION
The indications for colon resection include benign and malignant conditions.
●Malignant and premalignant colon lesions (see "Surgical resection of primary colon cancer")
●Appendiceal cancer (see "Cancer of the appendix and pseudomyxoma peritonei")
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- INDICATIONS FOR COLON RESECTION
- Benign disease
- PREOPERATIVE EVALUATION
- Medical risk assessment
- Preoperative imaging
- PREOPERATIVE PREPARATION
- Intravenous antimicrobial prophylaxis
- Bowel preparation
- Prophylactic ureteral stenting
- Anticipated splenectomy
- MINIMALLY INVASIVE COLON RESECTION
- Short-term (perioperative) outcomes
- - Overall morbidity
- - Severe morbidity
- - Mortality
- Long-term outcomes
- COLON RESECTION
- Types of colon resection
- Benign versus malignant disease
- BOWEL ANASTOMOSIS
- Primary closure versus ostomy
- POSTOPERATIVE CARE AND FOLLOW-UP
- PERIOPERATIVE MORBIDITY AND MORTALITY
- SUMMARY AND RECOMMENDATIONS