3
Treatment
Table 2. Non-metastatic, non-obstructing colon cancer
Colon Cancer Stage I: T1-2N0M0, Colon Cancer
Stage IIA: T3N0 (no high-risk features), Colon
Cancer Stage IIA: T3N0 (with high risk features)
Population Intervention Setting
Patients with
non-obstructing,
resectable, localized
colon cancer
General surgeons should perform open resection
following standard oncologic principles. (Strong
Recommendation; H)
Basic and
Limited
Patients with
non-obstructing,
resectable, localized
colon cancer
If suitable, surgical oncologists and/or colorectal
surgeons with adequate training in laparoscopic
or minimally invasive techniques should perform
laparoscopic or minimally invasive resection
following standard oncologic principles and, if
Maximal, using the most appropriate techniques
and instruments. (Strong Recommendation; H)
Enhanced
and
Maximal
Patients with
non-obstructing,
resectable, localized
colon cancer
If laparoscopy is contraindicated, surgical
oncologists and/or colorectal surgeons
should use an open surgical approach. (Strong
Recommendation; H)
Enhanced
and
Maximal
Table 3. Colon Cancer Stages IIB-IIC: T4N0
(Non-obstructing)
Population Intervention Setting
Patients with non-
obstructing, locally
advanced (ie., with
invasion of adjacent
structures) colon
cancer
General surgeons should perform an open en
bloc resection (including adjacent invaded organ)
following standard oncologic principles. (Strong
Recommendation; H)
Basic
Patients with
non-obstructing,
locally advanced
(ie., with invasion of
adjacent structures)
colon cancer with
contraindications
and/or en bloc
resection not possible
If contraindications and/or en bloc resection
not possible, efforts should be made to transfer
a patient to a higher-level facility. (Strong
Recommendation; IC-H)
Basic and
Limited
