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Surgery for locally advanced colon cancer

Implementation

  • A mid-line incision curving to the right of the navel is usually made.
  • The tumor with the adherent organs are removed en-bloc.
  • The abdomen is washed with a cytotoxic solution if there is a possibility for peritoneal tumor growth, or there has been peroperative spillage of bowel content.
  • The abdomen is closed.
  • A drain is installed only if there is increased risk of anastomosis leakage or bleeding.

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