A 35-year-old woman is diagnosed with colon cancer located in the hepatic angle. She has a family history of colon cancer in her mother, an aunt at the age of 45 and a grandfather. The most accepted surgical intervention is:
The statement with the family history indicates that this is a case of hereditary nonpolyposis colorectal cancer (Lynch syndrome). The age and right location data lead us to answer 4: total colectomy with ileorectal anastomosis. If a conventional right hemicolectomy type surgery is performed, the chances of recurrence are higher than 30%. Excision of the rectum is not necessary prophylactically.
Right hemicolectomy.
Extended right hemicolectomy.
Subtotal colectomy.
Total colectomy with ileorectal anatomosis.
Total colectomy with ileoanal anatomy.
The age and right location data lead us to answer 4: total colectomy with ileorectal anastomosis.