Right hemicolectomy for cancer grossing

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This protocol deals with right hemicolectomy for cancer grossing.

It is done for cancers in the cecum, right colon, and appendix. Right hemicolectomies are also commonly done for Crohn's disease; this is dealt with in a separate article.

Introduction

It is very common.

Protocol

Protocol notes

  • The retroperitoneal margin in right hemicolectomies should be treated like the radial margin in total mesorectal excisions; it should be inked.[1] Involvement is a poor prognosticator.[2]

Image:

Alternate approaches

See also

Related protocols

References

  1. URL: http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954. Accessed on: 6 February 2013.
  2. 2.0 2.1 Bateman, AC.; Carr, NJ.; Warren, BF. (Apr 2005). "The retroperitoneal surface in distal caecal and proximal ascending colon carcinoma: the Cinderella surgical margin?". J Clin Pathol 58 (4): 426-8. doi:10.1136/jcp.2004.019802. PMID 15790712.