Surgery is often the initial treatment of colon cancer. During the surgery, the cancerous part of the colon is removed along with some surrounding tissue. See Surgery for Colon Cancer.
In most cases, after removing a cancerous section of the colon, the two ends of the colon are reconnected immediately. In other cases, the two ends cannot be reconnected immediately. In this case, the surgeon will sew the colon to an opening in the skin on the abdomen (called colostomy). Patients will wear a bag over the colostomy to collect bowel movements.
The colostomy is usually temporary. The two ends of the colon can often be reconnected after a few months, sometimes after chemotherapy is completed. Some patients will need the colostomy permanently.