5
Table 4. Colon Cancer Stages IIB-IIC: T3N0 Obstructing or
T4N0 (Obstructing)
Population Intervention Setting
Patients with
obstructing, locally
advanced (ie., with
invasion of adjacent
structures) resectable
colon cancer
General surgeons should perform emergency
resection and/or diversion (if resection is not
possible) if feasible following standard oncologic
principles. (Strong Recommendation; H)
Basic
Patients with
obstructing, locally
advanced (ie., with
invasion of adjacent
structures) resectable
colon cancer
General surgeons should perform emergency
surgical resection and/or diversion following
standard oncologic principles. (Strong
Recommendation; H)
Limited
Patients with
obstructing, locally
advanced (ie., with
invasion of adjacent
structures) resectable
colon cancer
Surgical oncologists and/or colorectal surgeons
should perform emergency surgical resection
and/or diversion following standard oncologic
principles. (Strong Recommendation; H)
Enhanced
Patients with
obstructing, locally
advanced (ie., with
invasion of adjacent
structures) resectable
colon cancer
For le-sided obstructing colon cancers, surgical
oncologists and/or colorectal surgeons with
specialist skills/training may place a colonic stent.
(Strong Recommendation; H)
Enhanced
and
Maximal
Patients with
obstructing, locally
advanced (ie., with
invasion of adjacent
structures) resectable
colon cancer
Surgical oncologists and/or colorectal surgeons
should perform emergency surgical resection
and/or diversion following standard oncologic
principles using the most advanced techniques.
(Strong Recommendation; H)
Maximal