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Surgical treatments

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The choice of operation depends on the height of the lesion above the anal verge, it's configuration, gross extent and degree of differentiation, and the patient's general condition. A colostomy may be required and this should be discussed with the patient.

Four principal operations are used:

  • local resection: if the patient is too old or frail to withstand a major operation
  • anterior resection of rectum: for growths more than 10 cm from the anal verge but below the recto-sigmoid junction
  • abdomino-perineal resection of rectum: for growths less than 10 cm from the anal verge
  • Hartmann's procedure: if the tumour is unresectable

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