Our Summary

This study looked at three different ways of performing a colectomy (surgery to remove part of the colon): open surgery, laparoscopic surgery (keyhole surgery), and robotic surgery. It involved looking back at the medical records of all patients who had this surgery by a particular surgeon at a specific hospital from 2015 to 2019.

The study compared different outcomes, such as how long the operation took, whether there were any complications, and how long the patients stayed in hospital. The results showed that there was no significant difference in the operation time, the rate of having to go back in for another operation, or major complications between the three methods.

However, the study did find that those who had the robotic surgery had a shorter hospital stay and less blood loss during the operation. The age, sex, physical health, weight, and whether the patient had a cancer diagnosis did not significantly affect these results.

In simple terms, the study suggests that using a robot to perform a colectomy may lead to a shorter hospital stay and less blood loss, but other outcomes are similar whether the operation is done by a robot, through keyhole surgery, or via open surgery.

FAQs

  1. What are the three methods of performing a colectomy that the study looked at?
  2. According to the study, what were the benefits of using robotic surgery for a colectomy?
  3. Were there any significant differences in operation time or major complications between the three methods of performing a colectomy, as per the study?

Doctor’s Tip

One helpful tip a doctor might give to a patient considering a colectomy is to discuss with their surgeon the possibility of robotic surgery as it may result in a shorter hospital stay and less blood loss compared to other methods. However, it is important to weigh all options and considerations with your healthcare team to determine the best approach for your individual situation.

Suitable For

Patients who may be recommended for a colectomy include those with:

  • Colon cancer or other types of colorectal cancer
  • Inflammatory bowel disease (such as ulcerative colitis or Crohn’s disease) that does not respond to other treatments
  • Diverticulitis that is severe or recurring
  • Colon polyps that are large or at high risk of becoming cancerous
  • Familial adenomatous polyposis (an inherited condition that causes many polyps to form in the colon)
  • In rare cases, severe constipation or other conditions that affect the colon function

It is important for patients to discuss their specific condition and treatment options with their healthcare provider to determine if a colectomy is the best course of action for them.

Timeline

Before colectomy:

  1. Patient is diagnosed with a condition that requires removal of part of the colon.
  2. Patient and medical team discuss treatment options, including the possibility of a colectomy.
  3. Patient undergoes pre-operative tests and evaluations to ensure they are healthy enough for surgery.
  4. Patient receives instructions on how to prepare for the surgery, such as fasting and discontinuing certain medications.
  5. Patient undergoes the colectomy procedure, which can be done through open surgery, laparoscopic surgery, or robotic surgery.

After colectomy:

  1. Patient wakes up in the recovery room post-surgery.
  2. Patient is closely monitored for any complications or side effects.
  3. Patient is gradually allowed to start eating and drinking again.
  4. Patient may experience pain and discomfort at the surgical site, which is managed with pain medication.
  5. Patient is encouraged to start moving and walking to aid in recovery and prevent complications such as blood clots.
  6. Patient is discharged from the hospital once they are stable and able to manage their care at home.
  7. Patient continues to follow up with their medical team for post-operative care and monitoring.
  8. Patient may undergo physical therapy or other interventions to aid in recovery and improve quality of life.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a colectomy surgery?
  2. How long is the recovery process expected to be after a colectomy?
  3. What are the possible long-term effects of having part of my colon removed?
  4. How will my diet and bowel movements be affected after a colectomy?
  5. What is the success rate of colectomy surgeries performed using robotic surgery compared to other methods?
  6. Will I need any additional treatments or medications after the surgery?
  7. How experienced is the surgical team in performing colectomy surgeries, specifically using robotic surgery?
  8. What is the expected outcome in terms of quality of life after a colectomy surgery?
  9. How soon can I return to normal activities and work after the surgery?
  10. Are there any specific lifestyle changes or precautions I should take after a colectomy surgery?

Reference

Authors: McCarthy E, Gough BL, Johns MS, Hanlon A, Vaid S, Petrelli N. Journal: Am Surg. 2021 Aug;87(8):1275-1279. doi: 10.1177/0003134820973384. Epub 2020 Dec 19. PMID: 33345569