**5. Discussions**

The localization of the primary tumor in the transverse colon and the type of the emergency: occlusion, peritonitis with diastatic perforation or hemorrhage, as well as hemodynamic and respiratory stability of the patient, severity of hydroelectrolytic imbalance, require as emergency surgical treatment the following surgical therapeutic options (on cases that may benefit from surgical treatment):


standard transverse colon or splenic flexure, the presence of another synchronous tumor formation, vascular abnormalities or anatomical features of the transverse colon, high localization of the splenic flexure, the technical variants that can be achieved are represented by: segmental colectomy of the transverse colon or transversectomy, extended right colectomy, subtotal colectomy with CME and CVL Hohenberger and per-primal anastomosis TT, LL or LT, depending on local factors, technical possibilities – manual or mechanical and experience or preference of the surgeon.
