Bowel resection

Question 1

Right colon

Answer 1

Right hemicolectomy
Ileo-colic anastamosis
Low risk of leak

Question 2

Transverse colon

Answer 2

Extended right hemicolectomy
Ileo-colic anastamosis
Low risk of leak

Question 3

Splenic flexure

Answer 3

Extended right hemicolectomy
Ileo-colic anastamosis
Low risk of leak

OR

Left hemi
Colo-colon anastamosis
2-5% risk of leak

Question 4

Left colon

Answer 4

Left hemi
Colo-colon anastamosis
2-5% risk of leak

Question 5

Sigmoid colon

Answer 5

High anterior resection
Left hemi
Colo-rectal anastamosis
5% risk of leak

Question 6

Upper rectum

Answer 6

Anterior resection (TME)
Colo-rectal anastamosis
5% risk of leak

Question 7

Low rectum

Answer 7

Anterior resection (Low TME)
Colo-rectal anastamosis
(+/- Defunctioning stoma)
10% risk of leak

NEEDS TO BE AT LEAST 2CM CLEAR OF ANUS

Question 8

Anal verge

Answer 8

Abdomino-perineal excision of colon and rectum
No anastamosis

Question 9

What do patients with T1, 2, 3/N0 rectal cancer require in addition to resection?

Answer 9

Nothing

Question 10

What do patients with T4 rectal cancer require in addition to resection?

Answer 10

Long course chemoradiotherapy

Question 11

What are all patients with colon cancer offered after resection?

Answer 11

Chemotherapy

Question 12

When can you NOT do pan-proctocolectomy?

Answer 12

In acutely unwell patients