Operations

Question 1

What operation if tumour in caecum, ascending or proximal transverse colon?

Answer 1

Right hemi-colecromy.

Question 2

Distal transverse or descending colon?

Answer 2

Left hemi-colectomy.

Question 3

Sigmoid tumour

Answer 3

Sigmoid colectomy

Question 4

What is an anterior resection used for?

Answer 4

For low sigmoid or high rectal tumours.

Anastomoses usually achieved at 1st op.

Question 5

When is an a domino-perineal resection performed?

Answer 5

When the tumour is = to 8cm from the anal margin.

Results in the removal of rectum and anus and permanent colostomy.

Question 6

What supplies the right colon?

Answer 6

The SMA

Question 7

What supplies the left colon?

Answer 7

The IMA

Question 8

What supplies the small intestine?

Answer 8

the SMA

Question 9

What does the coeliac artery supply?

Answer 9

The stomach, spleen and also becomes the hepactic artery.

Question 10

What is Hartmann’s operation used for?

Answer 10

Resection of the rectosigmoid colon with formation of an end colostomy for emergency bowel obstruction or palliation where an anastomoses is not possible

Question 11

Chemotherapy should be used for Dukes stage what?

Answer 11

Dukes stage C and above.