Surgical Management in Lynch Syndrome

Abstract

Surgery in the Lynch Syndrome can be curative, palliative, and occasionally prophylactic or preventive. An abdominal colectomy and ileorectal anastomosis is the usual procedure recommended in a patient with newly diagnosed colon cancer and Lynch Syndrome. This recommendation is based on the increased risk of metachronous colorectal cancer in the syndrome. There is a paucity of studies regarding the benefits of more extended procedures compared to limited resections in the Lynch Syndrome. In this chapter, the surgical management of Lynch syndrome patients will be addressed including the rationale for limited and extended resections.