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Tumor in the left colic flexure


There are two alternative methods:

  • At emergency surgery of ileus/perforation an extended right-sided hemicolectomy is performed in addition to resection of the intestinal segment  around  the left colic flexure to the lower part of the descending colon.
  • At elective surgery one is dividing distally in the same level, but cecum ascending colon and the right part of transverse colon may be retained if the bowel is released and a good anastomosis without any tensioning is performed.

In both cases a standard lymph node resection is performed.

Colica media is divided centrally and colica sinistra is divided by mesenterica inferior.

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