SURGICAL PROCEDURES FOR CARCINOMA OF THE TRANSVERSE COLON

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Abstract
In 78 per cent of the cases in this series, the involved segment of the colon was resected, with a hospital mortality rate of 20.4 per cent. In 95 cases, the growth-bearing segment of bowel was removed by extraperitoneal resection, with a hospital mortality rate of 20 per cent. In 36 cases, the growth-bearing segment of bowel was removed by segmental resection and primary anastomosis, with an operative mortality rate of 11.1 per cent. The safety of extraperitoneal resection of the transverse colon as compared to resection with end-to-end anastomosis is so disputable that the surgeon is entitled to be influenced by the greater convenience which the latter type of procedure affords the patient, when, in his opinion, primary resection and anastomosis is a feasible operation.

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