Most authors agree that the initial treatment of PCL should include surgical resection, since this affords prognostic information, avoids complications (bleeding, occlusion, etc.), and allows healing of the disease in some cases. Since the cecum is most commonly affected, a right-side colectomy is usually indicated. It is advisable that a resection of regional lymph nodes be included, since these are usually found to be affected in the histological study, and a liver biopsy is mandatory. Laparoscopic resection of colon tumors has been shown to meet standard oncological criteria, and further offers important advantages in terms of both morbidity and mortality, particularly in elderly patients or individuals with relevant concomitant diseases.
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