I Have Had Part of My Colon Removed
Surgery to remove all of or a part of your bowel (colectomy)
Your surgeon might remove the part of your large bowel (colon) containing the cancer. This is chosen a colectomy. Your surgeon also removes nearby lymph nodes.
Surgery to remove part of the colon is called a hemicolectomy or partial colectomy. Surgery to remove the whole of the large bowel (colon) is called a full colectomy.
What type of surgery do I need?
The blazon of surgery yous need for colon cancer depends on:
- the stage of your cancer
- where it is in your colon
For a small early on stage colon cancer, your surgeon might just remove the cancer from the bowel lining, along with a edge of healthy tissue. This is called a local resection.
For larger cancers, your surgeon might remove the function of the bowel where the cancer is and bring together the 2 ends of your colon back together. This is called a colectomy. They might also remove the lymph nodes well-nigh to the bowel in example the cancer has spread to the nodes.
There are unlike types of colectomy. The type you take depends on where the cancer is in your colon.
Removing part of the colon
The surgeon removes the function of the colon containing the cancer (a colectomy). How much your surgeon takes away depends on the verbal position and size of the cancer.
Subsequently your surgeon removes your cancer, they join the ends of the bowel back together. The join is called an anastomosis.
Stomas
Sometimes the surgeon brings the end of the bowel out equally an opening on your abdomen chosen a stoma. This is to give the bowel time to heal.
- An ileostomy is an opening (stoma) of the modest bowel (ileum) onto the surface of the tummy (abdomen)
- A colostomy is an opening (stoma) of the large bowel (colon) onto the surface of the breadbasket (belly)
The stoma may be temporary or permanent.
If you have a temporary stoma you may have some other operation a few months afterwards to join the ends of the bowel back together. This is called a stoma reversal. In the meantime y'all wear a colostomy or ileostomy bag over the opening of the bowel, to collect your poo.
You might need to have a permanent colostomy or ileostomy. This depends on where the cancer is in your colon, or if you are in poor wellness. Your surgeon will avoid this if at all possible. Sometimes your surgeon tin't tell if you will need a permanent stoma until during the performance. They may not know how big the cancer is, or how much of the bowel information technology affects.
Type of surgery to remove role of the colon
Surgery to remove the left side of the colon is chosen a left hemi colectomy.
Removing the centre office of the bowel (transverse colon) is called a transverse colectomy.
Removing the correct side of the bowel is called a right hemi colectomy.
Removing the sigmoid part of the bowel (sigmoid colon) is chosen a sigmoid colectomy.
Removing all of the colon
Surgery to remove the whole of the large bowel (colon) is chosen a total colectomy. The surgeon brings the end of the modest bowel to the surface of the belly to make an ileostomy.
Sometimes it is possible for the small bowel to exist joined to the lower role of the bowel (the rectum).
A subtotal colectomy is where the surgeon removes almost of the colon but is able to get out part of the left side of the colon chosen the sigmoid colon. The surgeon joins the minor bowel to the remaining scrap of big bowel (sigmoid colon).
How you have surgery
Open surgery
This means your surgeon makes one long cut down your abdomen to remove the cancer.
Keyhole (laparoscopic) surgery
Your surgeon makes several modest cuts in your belly. They pass a long tube with a light and camera through one of the holes. Surgical instruments are put into the other holes and are used to remove the cancer.
Generally, with keyhole surgery, people recover quicker.
Your surgeon might offer you keyhole surgery if they need to remove part of your bowel. But it depends on your situation, and some people aren't able to have keyhole surgery. Sometimes the surgeon has to switch from keyhole to open surgery during the operation. Your surgeon volition talk to you lot about this earlier your operation.
Robotic surgery
Some surgeons use a robotic system to help with keyhole surgery. The surgeon sits slightly away from you and tin can run into the operation on a magnified screen. The robotic motorcar is adjacent to you. The machine has 4 arms. Ane arm holds the camera, and the others hold the surgical instruments. The surgeon controls the artillery of the motorcar to remove the cancer.
Robotic surgery is still a new technique and non all hospitals in the UK have this. Doctors promise that robotic surgery might lower the risk of:
- your surgeon needing to switch to open surgery
- complications during and later surgery
But at the moment, specialist doctors are still looking into the overall benefit of robotic surgery in bowel cancer compared to open and keyhole surgery.
Source: https://www.cancerresearchuk.org/about-cancer/bowel-cancer/treatment/treatment-colon/surgery-colon/colectomy
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