Our Summary

This research looks at the safety of using laparoscopic surgery (which involves smaller cuts and a camera) for right colectomy (removal of part of the colon), especially for cancer patients. The researchers looked at studies from 1991 to 2014 and found 27 studies that met their criteria. Based on these studies, they found that patients who had laparoscopic surgery had a lower death rate (1.2%) in the 30 days following surgery compared to those who had open surgery (3.4%). Also, patients who had laparoscopic surgery experienced fewer complications (16.8%) than those who had open surgery (24.2%). The researchers concluded that, based on the studies available, laparoscopic surgery is safer than open surgery for right colectomy.

FAQs

  1. What is the difference between laparoscopic surgery and open surgery for right colectomy?
  2. What is the death rate for patients who undergo laparoscopic surgery for right colectomy compared to those who undergo open surgery?
  3. According to the research, is laparoscopic surgery safer than open surgery for right colectomy?

Doctor’s Tip

One important tip a doctor might tell a patient about colectomy is to discuss with their surgeon the possibility of laparoscopic surgery, which has been shown to have a lower risk of complications and a shorter recovery time compared to open surgery. This option may be a safer and less invasive approach to colectomy, especially for cancer patients. It’s important for patients to have an open and informed discussion with their healthcare team to determine the best surgical approach for their individual situation.

Suitable For

Patients who are typically recommended for colectomy include those with:

  • Colon cancer
  • Inflammatory bowel disease (such as ulcerative colitis or Crohn’s disease)
  • Diverticulitis (inflammation or infection of small pouches in the colon)
  • Colon polyps (abnormal growths in the colon that can be precancerous)
  • Colon obstruction or perforation
  • Chronic constipation or megacolon
  • Familial polyposis (a genetic condition that causes multiple colon polyps)
  • Colon ischemia (lack of blood flow to the colon)
  • Colon volvulus (twisting of the colon)
  • Severe gastrointestinal bleeding

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

Timeline

Before colectomy:

  • Patient may experience symptoms such as abdominal pain, bloating, diarrhea, constipation, rectal bleeding, or weight loss
  • Patient undergoes diagnostic tests such as colonoscopy, CT scans, or blood tests to confirm the need for surgery
  • Patient discusses surgical options and risks with their healthcare provider
  • Patient may need to undergo bowel preparation to clean out the colon before surgery

After colectomy:

  • Patient undergoes surgery to remove part of the colon
  • Patient may stay in the hospital for a few days to recover
  • Patient may experience pain, fatigue, and changes in bowel habits post-surgery
  • Patient is monitored for complications such as infection, bleeding, or bowel obstruction
  • Patient may need to follow a special diet or take medication to help with digestion
  • Patient may need to undergo regular follow-up appointments and screenings to monitor for recurrence of cancer or other issues.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a colectomy surgery?
  2. How long is the recovery period after a colectomy surgery?
  3. Will I need to make any changes to my diet or lifestyle after the surgery?
  4. What type of anesthesia will be used during the surgery?
  5. How experienced is the surgical team in performing laparoscopic colectomy procedures?
  6. Will I need to undergo any additional tests or screenings before the surgery?
  7. How will my pain be managed after the surgery?
  8. What are the long-term effects of having a colectomy?
  9. What is the success rate of laparoscopic colectomy for my specific condition?
  10. Are there any alternative treatment options available for me other than surgery?

Reference

Authors: Arezzo A, Passera R, Ferri V, Gonella F, Cirocchi R, Morino M. Journal: Int J Colorectal Dis. 2015 Nov;30(11):1457-72. doi: 10.1007/s00384-015-2304-9. Epub 2015 Jul 4. PMID: 26137968