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Clin Colon Rectal Surg 2015; 28(04): 228-233
DOI: 10.1055/s-0035-1564621
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Management of Complicated Colon Cancer

Steven Lee-Kong
1   Department of Surgery, CUMC, New York Presbyterian Hospital, Columbia University, New York, New York
,
David Lisle
2   Department of General Surgery, New York Presbyterian Hospital, Columbia University, New York, New York
› Author Affiliations
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Publication History

Publication Date:
22 November 2015 (online)

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Abstract

The management of complicated colon cancer (locally invasive, obstructed, or perforated cancers) can pose diagnostic and therapeutic challenges to surgical management. Adherence to traditional surgical oncologic principles must often be balanced with the patients' clinical presentation and other parameters. While the goal of an R0 (no residual microscopic disease) resection must always be kept in mind, situations sometimes arise which can make this difficult to achieve. Recognition of complicated disease and availability of varied therapeutic modalities is important to ensure favorable patient outcomes. This review will discuss the surgical management of complicated colon cancer, with special focus on locally advanced disease.

Keywords

colonic stent - large bowel obstruction - colon cancer - multivisceral resection - colon perforation
 

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