Is minimally invasive surgery suitable for transverse colon cancer?

Written by Sun Wei
Surgical Oncology
Updated on September 14, 2024
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Transverse colon cancer can also be considered for minimally invasive surgical treatment. The main procedure involves a complete resection of the transverse colon, and sometimes, it may require the resection of part of other organs. For instance, if the cancer has invaded the splenic region of the colon, a splenectomy may be necessary. If there is invasion into the liver area, partial liver resection may be needed. In cases where minimally invasive surgery is not suitable or inconvenient, it is also possible to switch to open surgery. The goal is to completely remove the tumor. Whether minimally invasive or traditional surgery is used, it is just a method of operation. Additionally, postoperative adjunct chemotherapy and other comprehensive treatments are necessary.

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How to defecate after transverse colon cancer surgery

If transverse colon cancer is treated with curative resection surgery and no stoma creation, the anus is preserved, and defecation occurs through the original anus. If a colostomy is performed after surgery for transverse colon cancer, defecation occurs through an artificial anus, typically located in the lower left abdomen. There can be opportunities to reverse the stoma later if necessary. Even with a stoma, patients can gradually adapt. The main focus is always on completely removing the tumor. Generally, postoperative adjuvant chemotherapy is also used to control the condition.

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Is dry, pellet-like stool a symptom of colon cancer?

Dry, granular stools are not necessarily symptoms of colon cancer, but patients with colon cancer may also experience dry, granular stools. Therefore, after exhibiting the above symptoms, patients need to promptly complete an electronic colonoscopy to confirm the diagnosis of the disease. For example, if the symptoms are due to colon cancer, aggressive surgical treatment should be taken, followed by comprehensive treatment including radiotherapy and chemotherapy. If the symptoms are due to functional indigestion causing constipation, treatment should involve using medications to regulate the intestinal flora and relieve constipation.

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Written by Sun Wei
Surgical Oncology
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Is minimally invasive surgery suitable for transverse colon cancer?

Transverse colon cancer can also be considered for minimally invasive surgical treatment. The main procedure involves a complete resection of the transverse colon, and sometimes, it may require the resection of part of other organs. For instance, if the cancer has invaded the splenic region of the colon, a splenectomy may be necessary. If there is invasion into the liver area, partial liver resection may be needed. In cases where minimally invasive surgery is not suitable or inconvenient, it is also possible to switch to open surgery. The goal is to completely remove the tumor. Whether minimally invasive or traditional surgery is used, it is just a method of operation. Additionally, postoperative adjunct chemotherapy and other comprehensive treatments are necessary.

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Written by Cui Fang Bo
Oncology
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What should be done after the complete removal of colon cancer?

After surgical removal of colon cancer, the postoperative treatment strategy should be determined based on the precise staging of the cancer according to the surgical pathology. If the colon cancer has invaded the mucosal layer and the submucosal layer, or the muscular layer, it is staged as stage I; postoperative adjuvant chemotherapy is not required, and regular follow-up is sufficient. If the colon cancer reaches stage II or III, postoperative adjuvant chemotherapy is needed to reduce the risk of postoperative recurrence and metastasis. Stage IV colon cancer does not fall under the aforementioned conditions of clean removal of the cancer.

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Written by Sun Wei
Surgical Oncology
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What to do about liver metastasis from transverse colon cancer?

Liver metastasis in transverse colon cancer is relatively common, especially in cases where the disease has progressed. Because the transverse colon is located close to the liver region, tumors in this area can potentially metastasize to the liver via the lymphatic or blood circulation, or through local infiltration. In cases where the liver metastasis is localized, there is still an opportunity for surgical treatment involving a radical resection of the transverse colon cancer combined with partial hepatectomy. If there are multiple metastases in the liver, radical surgery may not be feasible. Initially, preoperative neoadjuvant chemotherapy or targeted therapy is performed. If the liver metastatic lesions can be reduced or disappear, there may still be a chance for surgical treatment afterwards.