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Updated: Jun 10, 2026

Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer
Published on: July 25, 2025
Treatment options in obstructed left-sided colonic cancer
1Department of Colorectal and Laparoscopic Surgery, University College London Hospitals, London, UK. jamcc2002@yahoo.co.uk
Abstract:
Colorectal cancer presents as an emergency with large bowel obstruction in up to 29% of cases. These patients are often elderly with multiple co-morbidities and deranged physiological function. Traditionally, the mainstay of treatment was with staged surgical procedures, but recent trends have moved towards a primary resection and anastomosis. The use of self-expanding metallic stents has been described to alleviate obstruction and act as a bridge to surgery or as a definitive palliative procedure. Although there is no significant difference in long-term survival between these two treatment modalities, there is no consensus as to which approach is optimal in this group patients.
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