Surgical Management of Colon Cancer in Regular Surgery

Elion Ossibi Pierlesky; Massamba Miabaou Didace; Note Madzele Murielle Etiennette Julie; Bhodého Monwongui Médi; Tsouassa Wa Ngono Giresse Bienvenu; Avala Prude Pertinie; Motoula Latou Noé Henschel

doi:doi:10.11648/j.js.20251303.13

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Surgical Management of Colon Cancer in Regular Surgery

Elion Ossibi Pierlesky^*

, Massamba Miabaou Didace

, Note Madzele Murielle Etiennette Julie

, Bhodého Monwongui Médi

, Tsouassa Wa Ngono Giresse Bienvenu

, Avala Prude Pertinie

, Motoula Latou Noé Henschel

Published in Journal of Surgery (Volume 13, Issue 3)

Received: 5 May 2025 Accepted: 26 May 2025 Published: 23 June 2025

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Abstract

Colorectal cancer is the most common form of digestive cancer. The aim of this study was to investigate the therapeutic aspects of colon cancer. Patients and method: This was a descriptive study with retrospective data collection, from January 2020 to June 2023 (3 years and 6 months), including all patients treated in the digestive surgery department of the Brazzaville University Hospital for colon cancer. Results: During the study period, 64 patients were treated for colon cancer, representing a frequency of 2.9% of all hospitalised patients. The average age of our patients was 54.8 ± 14.02 years (extremes 29 and 79 years), with a predominance of males (sex ratio 1.8). Most patients were referred to us by gastroenterologists. Cancer was diagnosed preoperatively in 20 patients. Thoracic-abdominopelvic CT scans in 82% of patients showed irregular thickening of the colonic wall. All patients underwent laparotomy. Right colectomy with tumour removal was performed in 20 patients; left colectomy in 29 patients; right colectomy combined with antrectomy with tumour removal as a single block in one patient; left colectomy combined with antrectomy and caudal pancreatectomy with tumour removal as a single block in one patient; and left segmental colectomy (sigmoidectomy) was performed in 8 patients. Lymph node dissection was satisfactory in 42 patients and inadequate in 9. The resection limits were healthy in all our patients. Post-operative management was straightforward in most patients. Conclusion: Colonic cancers are the most common cancers of the digestive tract. It is treated surgically. when operated on at an early stage, it improves survival.

Published in	Journal of Surgery (Volume 13, Issue 3)
DOI	10.11648/j.js.20251303.13
Page(s)	55-59
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Cancer, Colon, CHU, Brazzaville

1. Introduction

Colon cancer is a disease characterised by an abnormal proliferation of cells in the inner lining of the colon. Its frequency and severity make it a worldwide public health problem

[1]

. It is less common in Black Africa than in Western countries, but its prevalence has increased in recent decades.

Colon cancer accounts for 8% of malignant tumors and 25. of digestive cancers in Cameroon

[1]

, and 2% of all cancers and 16. of digestive tract cancers in Burkina Faso

[2]

. It is diagnosed clinically and confirmed by histology after digestive endoscopy. Surgery is the standard treatment for colon cancer

[3]

Several studies carried out on this subject in Africa have focused on colorectal cancers together

[4-6]

and colon cancers in occlusion

[7-9]

In Congo, in a study of the epidemiological, diagnostic and therapeutic aspects of colorectal cancer at the Brazzaville University Hospital, Bolenga reported 36 cases of colon cancer out of 49 CRC cases

[10]

The aim of this work is to study the therapeutic aspects of colon cancers treated in controlled surgery at the Brazzaville University Hospital.

2. Patients and Method

This was a descriptive cross-sectional study with retrospective data collection that took place in the digestive surgery department of the Brazzaville University Hospital, from January 2020 to June 2023 (3 years and 6 months). All patients undergoing surgery for colon cancer were included in this study.

The parameters studied were epidemiological (age, sex), diagnostic (reason for consultation, personal and family history of tumor pathology, WHO performance status, digestive endoscopy, thoraco-abdomino-pelvic CT scan, anatomopathological, TNM stage) and therapeutic (type of surgical treatment, lymph node dissection, anatomopathological results of the surgical specimen).

The data were collected and analysed using Excel 2020 software.

3. Results

During the study period, 64 patients underwent controlled surgery for colon cancer, representing an hospital frequency of 2.9%.

The average age of our patients was 54.8 ± 14.02 years, with extremes ranging from 29 to 79 years.

There were 41 men and 23 women, with a sex ratio of 1.78.

Clinically: 4 patients had a family history of digestive cancer. Symptoms included rectal discharge (59 cases), abdominal pain (36 cases) and abdominal mass (11 cases). WHO status performens was 1 in 51 patients and 2 in 13.

All patients had undergone lower gastrointestinal endoscopy, which revealed ulceroblastic lesions in all patients (Figure 1) and the location of the lesions. Biopsies were taken in all patients.

Histological analysis of the biopsies was consistent with well-differentiated (16 cases) and moderately differentiated (4 cases) lieberkuhnian adenocarcinoma.

All patients had a CT scan (Figure 1). It was thoraco-abdominopelvic in 82% of patients and abdominal in 18%. It showed irregular thickening of the colonic wall with hepatic metastatic lesions (2 cases).

Download: Download full-size image

Figure 1. Scans showing parietal thickening of the colon.

In terms of treatment, all patients underwent laparotomy.

Table 1. Shows the distribution of patients according to the type of surgery.

Exploration	Headquarters		Workforce
Tumor	Right colon		24
	Left colon	Descending settler	12	38
	Left colon	Sigmoid	24	38
	Transverse	Right transverse vein invading the gastric antrum	1	2
	Transverse	Transverse left invading the greater gastric curve and intimate contact with the tail of the pancreas	1	2
Liver metastasis	Segment 8		2
Peritoneal carcinosis	Peritoneum and/or omentum and/or small intestine and/or colon		5
Douglas	Ascites		2

The treatment was:

1. 59 patients and the surgical procedures were

a. right colectomy in 20 patients;

b. left colectomy in 29 patients;

c. right colectomy combined with antrectomy in one patient;

d. a left colectomy associated with an antrectomy and a caudal pancreatectomy in one patient and a left colectomy associated with an antrectomy and a caudal pancreatectomy in the other.

e. left segmental colectomy (sigmoidectomy) in 8 patients (Figure 2).

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Figure 2. Images showing the sigmoid tumour intraoperatively (A) and the left colectomy specimen with the omentum removed (B).

2. Palliative in 5 patients, consisting of the creation of a proximal - upstream stoma (5 patients): a terminal ileostomy (2 cases) and a terminal colostomy (3 cases).

Post-operative management was straightforward in 50 patients, but complicated in 9 (parietal infections: 6 cases; digestive fistula treated medically with good outcome in 3 patients).

Anatomopathological examination of the surgical specimens showed a well-differentiated adenocarcinoma (39 cases) and a moderately differentiated adenocarcinoma (12 cases).

Lymph node dissection was satisfactory (≥ 12 lymph nodes) in 42 patients and insufficient (˂ 12 lymph nodes) in 9 patients.

All patients were referred to medical oncology for further management.

Table 2. Summary table of surgical treatment for colon cancer in controlled surgery. Summary table of surgical treatment for colon cancer in controlled surgery. Summary table of surgical treatment for colon cancer in controlled surgery.

Exploration	Headquarters		Workforce
Tumour	Right colon		24
	Left colon	Descending settler	12	38
	Left colon	Sigmoid	24	38
	Transverse	Right transverse vein invading the gastric antrum	1	2
	Transverse	Transverse left invading the greater gastric curve and intimate contact with the tail of the pancreas	1	2
Liver metastasis	Segment 8		2
Peritoneal carcinosis	Peritoneum and/or omentum and/or small intestine and/or colon		5
Douglas	Ascites		2
Treatment
Type	Gesture		Workforce
Curative	Right colectomy		20
	Left colectomy		29
	Right colectomy with antrectomy		1
	Left colectomy with antrectomy and caudal pancreatectomy		1
	Segmental colectomy (sigmoidectomy)		8
Palliative	Terminal ileostomy		2
Palliative	End colostomy		3
Total			64
Evolution
Favourable	Complication		Workforce
Yes	No		50
No	Yes		9
	Wall infection		6
	Digestive fistula		3

4. Discussion

During the study period, 64 patients underwent surgery for colon cancer, representing a hospital frequency of 2.9%. Zare C and al

[2]

in Burkina Faso reported a frequency of 2% of all cancers and 16.2% of those of digestive tract, whereas Djapa and al

[1]

stated that colon cancers represented 8% of malignant tumours and 25.6% of digestive cancers in Cameroon. The average age of our patients of 54.8 ± 14.02 years is similar to that of Jean Paul Ndamba Engbang and al in Cameroon in 2018

[11]

who found an average age of 52 ± 15.92 years. It is higher than those of Zare in Burkina Faso and Djapa in Cameroon who found averages ages of 49 and 40 respectively. The male predominance found in our work is similar to that reported in the literature

[1, 2, 11]

Clinically, in our series, the symptoms were dominated by rectal abdominal pain (59 cases) followed by abdominal pain (36 cases). These results are identical to those of Oumarou Youssouf in CAR

[4]

and Diarra in Mali in 2006

[5]

, who reported in their work that the dominant symptoms were abdominal pain and rectal discharge

[4, 5]

. None of patients in our study had a WHO performance status of 3 or 4. Ouédraogo and al. reported different results with 94.2% of patients having a WHO performance status between 3-4

[12]

As reported in the literature, a paraclinical work-up was requested in all our patients, including digestive endoscopy and abdominal CT or CAT scan

[3]

In terms of treatment, surgery is the gold standard for colon cancer. Laparoscopic resection is recommended for T 1 to T 3 tumours, and remains debatable for T 4 tumours. Because of the inadequacy of the technical facilities in the Congo, no patient has been operated on laparoscopically.

The type of resection depending on the location. Colonic resection for cancer requires, on the one hand, a sufficient intestinal margin (5 cm on each side of the tumour) and, on the other hand, satisfactory vascularisation of the anastomosed colonic segments. As in the literature, our patients underwent right colectomy (20 cases), left colectomy (29 cases) and sigmoidectomy (8 cases), right and left colectomy combined with antrectomy (1 case), antrectomy and caudal pancreatectomy (1 case).

Because of the presence of peritoneal carcinosis and ascites in the Douglas dead end in 5 patients, we only performed an offloading stoma.

Zare and al in Burkina Faso reported that haemicolectomy was the most commonly used treatment, with a resectability rate of 86.8%.

In the majority of our patients, the outcome was favourable following surgery, but complications occurred in 5 patients: parietal infection (3 cases) and medically treated digestive fistulas (2 patients). Traore and al reported that postoperative morbidity was 22% (6 patients), with complications including two parietal suppurations (2/6), three anastomotic fistulas (3/6) and one stoma necrosis (1/8)

[7]

. There were no cases of stoma complications in our series.

5. Conclusion

Colonic cancers are the most common cancers of digestive tract. Symptoms are dominated by rectal discharge, which in turn requires digestive endoscopy. Surgery is the standard treatment for these cancers. Progression is generally favourable after treatment.

Abbreviations

UHC	University Hospital Center
CRC	Colo rectal cancer
CT or CAT scan	computer tomography

Author Contributions

Elion Ossibi Pierlesky: Conceptualization, Formal Analysis, Funding acquisition, Investigation, Methodology, Project admin istration, Resources, Software, Visualization, Writing – original draft, Writing – review & editing

Massamba Miabaou Didace: Supervision

Note Madzele Murielle Etiennette Julie: Supervision

Bhodeho Monwongui Medi: Data curation, Methodology, Software, Visualization

Tsouassa Wa Ngono Giresse Bienvenu: Data curation, Methodology, Software, Visualization

Avala Prude Pertinie: Supervision

Motoula Latou Noé Henschel: Supervision

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Djapa Yamen Kaji Christelle, Ndoumba Afouba Alice, Majoumo Grace, Sando Ngueffo Linda, Omgba Jean-Gabin Briac, Kabeyene Okono Angèle, Sando Zacharie. Anatomopathological study of colon cancers in Yaoundé hospitals. Health Sci. Dis: 2022, 23 (9): 42-47.
[2]	Zare C.; Ouedraogo M. L. N.; Zida M.; Sanon B.; Ouangré E.; Traoré S. S. Colon cancers in Ouagadougou: 53 observations. Carcinologie Pratique en Afrique 2014; 13(1): 25-32.
[3]	Lecomte T, Tougeron D, Chautard R, Bressand D, André T, Bibeau F, Blanc B, Cohen R, Jacques J, Lagasse JP, Laurent-Puig P, Lepage C, Lucidarme O, Martin-Babau J, Panis Y, Portales F, Taïeb J, Aparicio T, Bouché O. Non-metastatic colon cancer - French Intergroup Clinical Practice Guidelines for diagnosis, treatments and follow-up (TNCD, SNFGE, FFCD, GERCOR, UNICANCER, SFCD, SFED, SFRO, ACHBT, SFP, AFEF, SFR). Dig Liver Dis. 2023 in press.
[4]	Youssouf O., Odjo J., George S., Siolo B. É. and Koffi B. (2023). Epidemiological and Clinical Aspects of Colorectal Cancers in Bangui. ESI Preprints 2023, 13: 38;
[5]	M Diarra, A Konate, A S Diarra, et al. Colorectal cancers in tropical environments. Acta Endosc 2006; 36, 187-193.
[6]	Souleymane Ouedraogo, Toussaint W. Tapsoba, Bernadette Bere, Edgar Ouangre, Maurice Zida. Epidemiology, treatment and prognosis of colorectal cancer in young adults in sub-Saharan Africa. Bull. Cancer (Paris) 106, 969-974.
[7]	Traore LI, Sogoba G, Sangare S, Katile D, Soumbounou G, Dembele S, Camara M, Sacko O, Traore D, Sanogo ZZ. Morbimortality of occlusive colorectal cancer at the Kayes Regional Hospital. Health Sci. Dis, 2021; 22(1): 37-40.
[8]	Raveloson JR; Rantomalala HYH; Rakotoarisoa B; Rakotobe TB; Tovone GX; Gizy, RD; Razafindramboa, H. Management of colon cancer in occlusion at the Soavinandriana hospital. Médecine d'Afrique Noire. 2005, 52 (11): 633-637.
[9]	BA PA, WADE TMM, DIOP B, FAYE M, NGOM A. Emergency management of colon cancer in occlusion at thies regional hospital in senegal. J Afr Chir Digest; 2017, 17(2): 2223-2227.
[10]	Bolenga Liboko Alexis Fortuné, Litingui Mboba TM, Zerbo Nina A J, Ndingossoka RJ, Ngatali CFS, Ndounga E, Mabiala Y, Nsondé Malanda J, Nkoua-Mbon JB. Epidemiology, diagnosis and management of colorectal cancer at the Brazzaville University Teaching Hospital. Health Sci. Dis 2022; 23 (4): 52-56.
[11]	Jean Paul Ndamba Engbang, Amadou Fewou, Alan Hasigov, Ornel Daniel Njel, Bruno Djimeli Djougmo, Roger Gilbert Ateba, Simo Godefroy, André Moune, Dieudonné Adiogo and Jean Louis Oyono Essame. Colon Cancers: Epidemiological and Histopathological Aspects in Cameroon. Journal of Cancer and Tumor International 2018; 7(1): 1-13.
[12]	Ouedraogo S, Ouedraogo S, Kambire JL, Zoungrana SL, Ouattara DZ, Bambara B, et al. Epidemiological, clinical, histological and therapeutic profile of primary digestive cancers in the northern and eastern regions of Burkina Faso. Bulletin du Cancer, 2018; 105 (12): 1119-25.

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APA Style

Pierlesky, E. O., Didace, M. M., Julie, N. M. M. E., Médi, B. M., Bienvenu, T. W. N. G., et al. (2025). Surgical Management of Colon Cancer in Regular Surgery. Journal of Surgery, 13(3), 55-59. https://doi.org/10.11648/j.js.20251303.13

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ACS Style

Pierlesky, E. O.; Didace, M. M.; Julie, N. M. M. E.; Médi, B. M.; Bienvenu, T. W. N. G., et al. Surgical Management of Colon Cancer in Regular Surgery. J. Surg. 2025, 13(3), 55-59. doi: 10.11648/j.js.20251303.13

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AMA Style

Pierlesky EO, Didace MM, Julie NMME, Médi BM, Bienvenu TWNG, et al. Surgical Management of Colon Cancer in Regular Surgery. J Surg. 2025;13(3):55-59. doi: 10.11648/j.js.20251303.13

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@article{10.11648/j.js.20251303.13,
  author = {Elion Ossibi Pierlesky and Massamba Miabaou Didace and Note Madzele Murielle Etiennette Julie and Bhodého Monwongui Médi and Tsouassa Wa Ngono Giresse Bienvenu and Avala Prude Pertinie and Motoula Latou Noé Henschel},
  title = {Surgical Management of Colon Cancer in Regular Surgery
},
  journal = {Journal of Surgery},
  volume = {13},
  number = {3},
  pages = {55-59},
  doi = {10.11648/j.js.20251303.13},
  url = {https://doi.org/10.11648/j.js.20251303.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20251303.13},
  abstract = {Colorectal cancer is the most common form of digestive cancer. The aim of this study was to investigate the therapeutic aspects of colon cancer. Patients and method: This was a descriptive study with retrospective data collection, from January 2020 to June 2023 (3 years and 6 months), including all patients treated in the digestive surgery department of the Brazzaville University Hospital for colon cancer. Results: During the study period, 64 patients were treated for colon cancer, representing a frequency of 2.9% of all hospitalised patients. The average age of our patients was 54.8 ± 14.02 years (extremes 29 and 79 years), with a predominance of males (sex ratio 1.8). Most patients were referred to us by gastroenterologists. Cancer was diagnosed preoperatively in 20 patients. Thoracic-abdominopelvic CT scans in 82% of patients showed irregular thickening of the colonic wall. All patients underwent laparotomy. Right colectomy with tumour removal was performed in 20 patients; left colectomy in 29 patients; right colectomy combined with antrectomy with tumour removal as a single block in one patient; left colectomy combined with antrectomy and caudal pancreatectomy with tumour removal as a single block in one patient; and left segmental colectomy (sigmoidectomy) was performed in 8 patients. Lymph node dissection was satisfactory in 42 patients and inadequate in 9. The resection limits were healthy in all our patients. Post-operative management was straightforward in most patients. Conclusion: Colonic cancers are the most common cancers of the digestive tract. It is treated surgically. when operated on at an early stage, it improves survival.
},
 year = {2025}
}

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TY - JOUR
T1 - Surgical Management of Colon Cancer in Regular Surgery

AU - Elion Ossibi Pierlesky
AU - Massamba Miabaou Didace
AU - Note Madzele Murielle Etiennette Julie
AU - Bhodého Monwongui Médi
AU - Tsouassa Wa Ngono Giresse Bienvenu
AU - Avala Prude Pertinie
AU - Motoula Latou Noé Henschel
Y1 - 2025/06/23
PY - 2025
N1 - https://doi.org/10.11648/j.js.20251303.13
DO - 10.11648/j.js.20251303.13
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 55
EP - 59
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20251303.13
AB - Colorectal cancer is the most common form of digestive cancer. The aim of this study was to investigate the therapeutic aspects of colon cancer. Patients and method: This was a descriptive study with retrospective data collection, from January 2020 to June 2023 (3 years and 6 months), including all patients treated in the digestive surgery department of the Brazzaville University Hospital for colon cancer. Results: During the study period, 64 patients were treated for colon cancer, representing a frequency of 2.9% of all hospitalised patients. The average age of our patients was 54.8 ± 14.02 years (extremes 29 and 79 years), with a predominance of males (sex ratio 1.8). Most patients were referred to us by gastroenterologists. Cancer was diagnosed preoperatively in 20 patients. Thoracic-abdominopelvic CT scans in 82% of patients showed irregular thickening of the colonic wall. All patients underwent laparotomy. Right colectomy with tumour removal was performed in 20 patients; left colectomy in 29 patients; right colectomy combined with antrectomy with tumour removal as a single block in one patient; left colectomy combined with antrectomy and caudal pancreatectomy with tumour removal as a single block in one patient; and left segmental colectomy (sigmoidectomy) was performed in 8 patients. Lymph node dissection was satisfactory in 42 patients and inadequate in 9. The resection limits were healthy in all our patients. Post-operative management was straightforward in most patients. Conclusion: Colonic cancers are the most common cancers of the digestive tract. It is treated surgically. when operated on at an early stage, it improves survival.

VL - 13
IS - 3
ER -

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Author Information

Elion Ossibi Pierlesky

Department of Digestive Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo

Contact Email

http://orcid.org/0000-0003-2716-4518
Massamba Miabaou Didace

Department of Digestive Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo

http://orcid.org/0000-0002-0930-0988
Note Madzele Murielle Etiennette Julie

Department of Digestive Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo

http://orcid.org/0009-0003-1865-6606
Bhodého Monwongui Médi

Department of Digestive Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo

http://orcid.org/0000-0001-8680-8956
Tsouassa Wa Ngono Giresse Bienvenu

Department of Digestive Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo

http://orcid.org/0009-0002-3704-654X
Avala Prude Pertinie

Department of Digestive Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo

http://orcid.org/0009-0004-6163-6456
Motoula Latou Noé Henschel

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo

http://orcid.org/0000-0002-6935-9738

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Table 1

Table 1. Shows the distribution of patients according to the type of surgery.
Table 2

Table 2. Summary table of surgical treatment for colon cancer in controlled surgery. Summary table of surgical treatment for colon cancer in controlled surgery.

Plain Text BibTeX RIS

APA Style

Pierlesky, E. O., Didace, M. M., Julie, N. M. M. E., Médi, B. M., Bienvenu, T. W. N. G., et al. (2025). Surgical Management of Colon Cancer in Regular Surgery. Journal of Surgery, 13(3), 55-59. https://doi.org/10.11648/j.js.20251303.13

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ACS Style

Pierlesky, E. O.; Didace, M. M.; Julie, N. M. M. E.; Médi, B. M.; Bienvenu, T. W. N. G., et al. Surgical Management of Colon Cancer in Regular Surgery. J. Surg. 2025, 13(3), 55-59. doi: 10.11648/j.js.20251303.13

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AMA Style

Pierlesky EO, Didace MM, Julie NMME, Médi BM, Bienvenu TWNG, et al. Surgical Management of Colon Cancer in Regular Surgery. J Surg. 2025;13(3):55-59. doi: 10.11648/j.js.20251303.13

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@article{10.11648/j.js.20251303.13,
  author = {Elion Ossibi Pierlesky and Massamba Miabaou Didace and Note Madzele Murielle Etiennette Julie and Bhodého Monwongui Médi and Tsouassa Wa Ngono Giresse Bienvenu and Avala Prude Pertinie and Motoula Latou Noé Henschel},
  title = {Surgical Management of Colon Cancer in Regular Surgery
},
  journal = {Journal of Surgery},
  volume = {13},
  number = {3},
  pages = {55-59},
  doi = {10.11648/j.js.20251303.13},
  url = {https://doi.org/10.11648/j.js.20251303.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20251303.13},
  abstract = {Colorectal cancer is the most common form of digestive cancer. The aim of this study was to investigate the therapeutic aspects of colon cancer. Patients and method: This was a descriptive study with retrospective data collection, from January 2020 to June 2023 (3 years and 6 months), including all patients treated in the digestive surgery department of the Brazzaville University Hospital for colon cancer. Results: During the study period, 64 patients were treated for colon cancer, representing a frequency of 2.9% of all hospitalised patients. The average age of our patients was 54.8 ± 14.02 years (extremes 29 and 79 years), with a predominance of males (sex ratio 1.8). Most patients were referred to us by gastroenterologists. Cancer was diagnosed preoperatively in 20 patients. Thoracic-abdominopelvic CT scans in 82% of patients showed irregular thickening of the colonic wall. All patients underwent laparotomy. Right colectomy with tumour removal was performed in 20 patients; left colectomy in 29 patients; right colectomy combined with antrectomy with tumour removal as a single block in one patient; left colectomy combined with antrectomy and caudal pancreatectomy with tumour removal as a single block in one patient; and left segmental colectomy (sigmoidectomy) was performed in 8 patients. Lymph node dissection was satisfactory in 42 patients and inadequate in 9. The resection limits were healthy in all our patients. Post-operative management was straightforward in most patients. Conclusion: Colonic cancers are the most common cancers of the digestive tract. It is treated surgically. when operated on at an early stage, it improves survival.
},
 year = {2025}
}

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TY - JOUR
T1 - Surgical Management of Colon Cancer in Regular Surgery

VL - 13
IS - 3
ER -

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