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general technical principles in colon resection

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General Technical Principles Standard Resections of the Colon Maingot’s Abdominal Operation 11th Ed Schwartz’s Principle of Surgery 10th Ed

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General Technical Principles

General Technical PrinciplesStandard Resections of the ColonMaingots Abdominal Operation 11th EdSchwartzs Principle of Surgery 10th EdTumor LocationResectionDescription of ExtentMajor Blood VesselSafety MarginCecumRight hemicolectomyTerminal ileum to mid transverse colon, right flexure includedIleocolic artery, Right colic artery, Right branch of mid colic artery5 cmAscending colonRight hemicolectomyTerminal ileum to mid transverse colon, right flexure includedIleocolic artery, Right colic artery, Right branch of mid colic artery 5 cmHepatic flexureExtended right hemicolectomyTerminal ileum to descending colon (distal to left flexure)Ileocolic artery, Right colic artery, Mid colic artery5 cmTransverse colonExtended right hemicolectomyTerminal ileum to descending colon (distal to left flexure)Ileocolic artery, Right colic artery, Mid colic artery5 cm(Transverse colon resection)Transverse colon (including both flexures)Mid colic artery

Tumor LocationResectionDescription of ExtentMajor Blood VesselSafety MarginSplenic flexureExtended left hemicolectomyRight flexure to sigmoid colon (sigmoid, beginning of rectum)Mid colic artery, left colic artery, inferior mesenteric artery,5 cmDescending colonLeft hemicolectomyLeft flexure to sigmoid colon (beginning rectum)Inferior mesenteric artery, left branch of colic artery5 cmSigmoid colonRectosigmoid resectionDescending colon to rectumSuperior hemorrhoidal artery, inferior mesenteric artery5 cm


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