Question

A 70-year-old man with cancer of the ascending colon was admitted to the hospital for tumor removal. The surgeon may perform any of these surgical procedures EXCEPT:
A. an incision in the left lower quadrant to access the tumor.

B. examination of the superior mesenteric lymph nodes for possible metastasis.

C. ligation of the relevant branches of the superior mesenteric artery.

D. mobilization of the concerned intestinal segment by freeing its fusion fascia.

E. protect the peritoneum from possible fecal contamination.

Answer 1

Answer: A) an incision in the left lower quadrant to access the tumor.

Explanation:

The ascending colon can be found on the ride side of the region of abdomen. The surgeon is required to make an incision on the left quadrant of the abdomen so as to get an access to the tumor which is on the ascending colon. The ascending colon is supplied with the blood by the mesenteric artery (superior). The ascending colon can be mobilized by the making free the fusion fascia. It will be a good idea to protect the abdomen or peritoneum from the contamination caused by the feces.