A laparoscopic assisted colon resection is a surgical procedure in which a part of your intestine is removed. It may be performed due to:
Colon mass: These masses can either be malignant (cancerous) or benign (non-cancerous).
Diverticular disease: Diverticulosis is an out-pouching in the colon called diverticula. On a case by case basis this could turn into diverticulitis which is an infection in the intestine. Not all cases of diverticulitis require a colon resection. However the surgeons in our practice will usually recommend surgery if you’ve been hospitalized for this problem at least two times. Should perforation occur, emergency surgery may be required
Bowel obstruction: A gastrointestinal condition in which stool is prevented from passing normally through the intestine.
Crohn’s disease: This is an inflammatory bowel disease. As the name implies, inflammatory bowel diseases cause inflammation of the intestinal tract. The intestinal tract includes your mouth, esophagus, stomach, small intestine, large intestine (colon), rectum, and anus. The inflammation and irritation of Crohn’s disease can occur anywhere in the gastrointestinal tract but is most common in the lower portion of the small intestine.
Chronic constipation: This is a common condition that is characterized by difficult, infrequent, or perceived incomplete bowel movements. Symptoms of constipation include having less than 3 bowel movements per week, straining, hard stools, incomplete evacuation and inability to pass stool. Chronic Constipation can cause the intestine to stretch (redundant colon) making it more difficult to pass stool.
No symptoms, other than the appearance of the mass itself.
Cramping, nausea, or diarrhea.
Fever, vomiting, or weakness.
Abdominal, side, or back pain.
Bleeding from the rectum.
With this type of surgery you would undergo a pre-operative bowel preparation and imaging whether it be a colonoscopy, barium enema or a CT scan.
This laparoscopic surgical procedure is one that removes the diseased section of your colon with the help of a camera. During the procedure you’re given a general anesthetic. In most of these laparoscopic cases surgeons operate through four to five small openings about a quarter inch in size. Once the diseased part of your colon is identified your surgeon will re-sect that piece and hook the two healthy ends of healthy colon back together again. You’ll wake up in the post-operative care unit with Band-Aids over your incisions. On average you can expect to stay in the hospital for three to five days because we want to make sure your bowels are moving well before you’re discharged from the hospital.
Some advantages with a laparoscopic assisted colon resection would be less post-operative pain, it may shorten your hospital stay, and it may result in a faster return to solid-food diet and help with a quicker return to normal activity.
There are also different types of laparoscopic colon surgeries including:
Total Colectomy – A laparoscopic total abdominal colectomy is an operation that removes the large intestine
Hemicolectomy – A Hemicolectomy is an operation that removes either the left or the right side of your colon.
Low Anterior Resection – An Anterior Resection is basically to remove an area of the rectum and/or left side of the bowel that is affected by disease. Your procedure may be referred to as a high or low anterior resection. Low specifically removes the lower two thirds of the rectum and high refers to removal of more of the large bowel (sigmoid colon/descending colon).
In most instances we do this procedure in the laparoscopic fashion, but sometimes there are cases that make that impossible. If the patient presents to the emergency room with a perforated colon it may require an open operation.
The surgeons at North Orlando Surgical make every possible effort to perform this surgery laparoscopically. The sheer number of cases they have performed speak to their extensive expertise. Call our office for an appointment today!