Our Summary

This study compared two different types of procedures used in minimally invasive surgery on the left side of the colon. One type of procedure is done inside the body (intracorporeal or IA), and the other is done outside the body (extracorporeal or EA). The study looked at 8 different studies involving 750 patients to see which procedure had better results.

The results showed that the procedure done inside the body had better outcomes. Patients who had this procedure had fewer complications, less infection at the surgery site, smaller surgical cuts, and faster recovery times in terms of when they could eat and have a bowel movement after surgery. However, the inside-the-body procedure took a bit longer to perform.

So, even though the procedure done inside the body takes a bit longer, it seems to be a better option because it leads to fewer complications and faster recovery times.

FAQs

  1. What are intracorporeal (IA) and extracorporeal (EA) procedures in minimally invasive surgery on the left side of the colon?
  2. According to the study, what are the benefits of the intracorporeal procedure compared to the extracorporeal procedure?
  3. Even though the intracorporeal procedure takes longer, why is it considered a better option?

Doctor’s Tip

It is important to follow your doctor’s recommendations for post-operative care, including taking prescribed medications, following a specific diet, and attending follow-up appointments. Additionally, it is important to gradually increase physical activity and avoid heavy lifting to aid in the recovery process. If you experience any unusual symptoms or complications after the surgery, be sure to contact your doctor immediately.

Suitable For

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

  1. Colon cancer
  2. Inflammatory bowel disease (such as ulcerative colitis or Crohn’s disease)
  3. Diverticulitis
  4. Severe constipation or bowel obstruction
  5. Familial adenomatous polyposis (a genetic condition that causes multiple polyps in the colon)
  6. Colonic inertia (a condition where the colon does not function properly)
  7. Chronic or severe colon bleeding
  8. Colon perforation or other traumatic injuries to the colon

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:

  • Patient will likely undergo various tests and consultations to determine the need for surgery
  • Patient will be instructed on preoperative preparations such as bowel preparation and dietary restrictions
  • Surgery will be scheduled and patient will be informed of the risks and benefits of the procedure

After colectomy:

  • Patient will wake up in the recovery room and be monitored closely for any complications
  • Patient will be given pain medication and gradually be allowed to start moving and eating
  • Patient will be discharged from the hospital once stable and able to care for themselves at home
  • Patient will have follow-up appointments with their surgeon to monitor their recovery and address any concerns
  • Patient will gradually resume normal activities and may require physical therapy or dietary modifications to adjust to life without a colon.

What to Ask Your Doctor

  1. What type of colectomy procedure do you recommend for me (intracorporeal or extracorporeal)?
  2. What are the potential risks and complications associated with the colectomy procedure?
  3. How long will the surgery take and what is the expected recovery time?
  4. Will I need to stay in the hospital after the surgery, and if so, for how long?
  5. What kind of follow-up care or monitoring will be necessary after the colectomy?
  6. Are there any specific dietary or lifestyle changes I should make before or after the surgery?
  7. How will the colectomy procedure impact my bowel function and overall quality of life?
  8. Are there any alternative treatment options to consider before proceeding with a colectomy?
  9. How often do you perform colectomy procedures, and what is your experience with this type of surgery?
  10. What is the success rate of the colectomy procedure in terms of achieving the desired outcome or symptom relief?

Reference

Authors: Vaghiri S, Prassas D, Krieg S, Knoefel WT, Krieg A. Journal: J Gastrointest Surg. 2023 Dec;27(12):3024-3037. doi: 10.1007/s11605-023-05827-1. Epub 2023 Sep 12. PMID: 37698813