| Popis: |
For the readership of this text, performing the actual procedure to remove diseased, malignant tumors of the colon is straightforward. Adhering to the oncologic principle of clear margins with adequate lymph node harvest is paramount. In the acute setting of obstruction and bleeding, adhering to these principles can often be difficult because of the size of the tumor, tumor invasion into surrounding structures, and patient factors (hemodynamically unstable, poor nutritional status, etc.). This chapter will focus on reviewing principles of surgery with the intent of addressing the complicating factors associated with obstructing and/or bleeding malignant tumors. |
