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Colorectal Surgery

Colorectal Surgery

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Colorectal Surgery

Introduction

Our Center for Intestinal & Colorectal Surgery treat benign and malignant conditions and perform routine screening examinations. A colectomy is an operation to remove part or all of your colon. It’s also called colon resection surgery. You may need a colectomy if part or all of your colon has stopped working or if it has an incurable condition that endangers other parts. Common reasons include colon cancer and inflammatory bowel diseases.

The preferred approach for colon and rectal cancer resection is laparoscopic colorectal surgery using advanced techniques. It is proven to be equivalent to traditional surgery for treating colon cancer. In addition, this minimally invasive surgical option provides patients with a faster return of bowel function, reduced postoperative pain and improved cosmetic results.

Conditions treated at our Center for Intestinal & Colorectal Surgery:

  • Anorectal diseases
  • Colonoscopy
  • Colorectal cancer
  • Complex perianal disease
  • Crohn’s disease
  • Diverticulitis
  • Fecal incontinence
  • Fissures & Fistulas in Ano
  • Inflammatory bowel disease
  • J-pouch surgery
  • Laparoscopic colorectal surgery
  • Rectal prolapse
  • Sphincter-preserving surgery
Conditions treated Colorectal Surgery

Open vs. laparoscopic surgery

Colectomy may be performed by traditional open surgery or by minimally-invasive laparoscopic surgery.

Open Surgery Laparoscopic
Long incision Smaller incisions
Blood transfusion required Blood rarely required
Poor cosmesis Excellent cosmesis
Longer hospital stay Shorter hospital stay
Higher wound complications Lower risk of wound complications
Prolonged recovery Faster recovery
Late return to work Early return to work

You may need all or only part of your colon ( Large Intestine) removed. Operations to remove different sections of the colon have different names.

Total colectomy

A total colectomy removes your entire large intestine. It begins at the end of your small intestine and ends at your rectum, the tail end of the large intestine that leads into the anal canal.

Partial/subtotal colectomy

A subtotal or partial colectomy removes a portion of your large intestine. Your operation may go by a more specific name that references the section of your colon removed. For example:

  • Sigmoid colectomy: Removes the last section of your colon, known as the sigmoid colon, which connects to your rectum.
  • Hemicolectomy: Removes one side of your colon. A left-side hemicolectomy removes the descending colon, while a right-side hemicolectomy removes the ascending colon (roughly the first half of the colon).
  • Proctocolectomy: Removes part or all of the colon and the rectum. A total proctocolectomy removes both entirely.
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