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Tumor in the left colic flexure

General

For cancer in the left colic flexure both the middle and left colic arteries have to be divided centrally. 

As a minimum, the intestine on the right side of the transverse colon to the transition descending colon/sigmoid is resected. In emergencies, and possibly in those cases where the transverse/sigmoid anastomosis does not fall nicely, the entire right colon is removed and an ileo/sigmoid anastomosis is performed.

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