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[Open colon surgery].

S Willis1, V Schumpelick

  • 1Chirurgische Universitätsklinik und Poliklinik der RWTH Aachen. swillis@ukaachen.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|October 22, 2005
PubMed
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Open colon resection is a common surgical procedure for colon cancer and other conditions. Standardized techniques ensure low complication rates, making it a safe option even for elderly patients.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Context:

  • Colon carcinomas represent a significant health concern, necessitating frequent abdominal operations.
  • Open resection is a primary surgical approach for managing colon cancer and benign intestinal diseases.

Purpose:

  • To outline the standardized surgical techniques for colon resection based on tumor location.
  • To describe the range of surgical interventions for various colon pathologies, from polyp removal to colectomy.

Summary:

  • Standardized surgical procedures include right hemicolectomy, transverse resection, left hemicolectomy, and sigmoid resection for colon carcinomas.
  • Surgical methods for benign conditions vary based on disease extent, including colotomy, polyp removal, and colectomy for toxic megacolon.
  • Elective colon surgery is common, with protective stomas used in emergencies.

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Impact:

  • Standardized indications and techniques lead to low perioperative mortality and complication rates.
  • Open colon resection is a generally un-problematic procedure, even for very old patients.