Our Summary

This paper discusses a surgical procedure known as single port right hemicolectomy, which is a less invasive way of removing part of the colon. This method was first used in 2008, almost a decade after a similar technique was used for gallbladder removal. Despite initial reluctance, this method is now accepted as a valid approach in colorectal surgery. Compared to traditional laparoscopic surgery (a minimally invasive operation performed in the abdomen), this single port method offers benefits such as improved cosmetic results, less postoperative pain, and shorter hospital stays. The downside is that the surgery can take longer due to limited visibility and angle possibilities. Past studies have shown that this method does not increase the risk of complications after surgery, and it offers the same results in terms of cancer treatment as standard laparoscopic surgery. However, more research is needed to confirm these findings.

FAQs

  1. What is a single port right hemicolectomy?
  2. What are the benefits and drawbacks of the single port right hemicolectomy compared to traditional laparoscopic surgery?
  3. Does the single port right hemicolectomy increase the risk of complications after surgery?

Doctor’s Tip

A doctor may advise a patient undergoing a colectomy to follow a healthy diet high in fiber and fluids to help with bowel function and prevent constipation after surgery. They may also recommend starting an exercise program to aid in recovery and promote overall health. Additionally, the doctor may advise the patient on proper wound care and when to seek medical attention if they experience any concerning symptoms such as fever, severe pain, or excessive bleeding. It is important for the patient to follow their doctor’s post-operative instructions closely to ensure a smooth recovery.

Suitable For

Patients who are typically recommended for colectomy include those with conditions such as colon cancer, inflammatory bowel disease (such as ulcerative colitis or Crohn’s disease), diverticulitis, and other colorectal conditions that cannot be effectively treated with medication or other non-surgical interventions. Additionally, patients who have a high risk of developing colorectal cancer due to a family history of the disease or a genetic predisposition may also be recommended for colectomy as a preventive measure. Ultimately, the decision to undergo colectomy is made on a case-by-case basis by a healthcare provider in consultation with the patient.

Timeline

Before colectomy:

  1. Patient consults with a surgeon to discuss the need for a colectomy and the different surgical options available.
  2. Patient undergoes preoperative testing and preparation, which may include blood tests, imaging scans, and bowel preparation.
  3. Surgery date is scheduled, and patient is instructed on what to expect before, during, and after the procedure.

After colectomy:

  1. Patient undergoes the single port right hemicolectomy procedure, which involves removing part of the colon through a single incision in the abdomen.
  2. Patient is monitored in the recovery room before being transferred to a hospital room for postoperative care.
  3. Patient may experience pain, discomfort, and limited mobility in the days following surgery.
  4. Patient is gradually introduced to a clear liquid diet and then advanced to solid foods as tolerated.
  5. Patient is encouraged to walk and perform breathing exercises to aid in recovery.
  6. Patient may be discharged from the hospital within a few days or may require a longer hospital stay depending on their individual recovery progress.
  7. Patient follows up with their surgeon for postoperative appointments to monitor healing and address any concerns.
  8. Patient may undergo additional treatments such as chemotherapy or radiation therapy if the colectomy was performed for cancer treatment.

What to Ask Your Doctor

  1. Can a single port right hemicolectomy be performed for my condition, or is traditional laparoscopic surgery a better option?
  2. What are the potential risks and complications associated with a single port right hemicolectomy?
  3. How long is the recovery period after a single port right hemicolectomy compared to traditional laparoscopic surgery?
  4. Will I need a longer hospital stay if I undergo a single port right hemicolectomy?
  5. How experienced are you in performing single port right hemicolectomies, and what is your success rate with this procedure?
  6. Are there any specific dietary or lifestyle changes I should make before or after the surgery?
  7. Will I need any additional treatments or medications after the surgery?
  8. What follow-up care will be necessary after a single port right hemicolectomy?
  9. How will the cosmetic results of a single port right hemicolectomy compare to traditional laparoscopic surgery?
  10. Are there any ongoing clinical trials or research studies investigating the effectiveness of single port right hemicolectomy for colorectal conditions?

Reference

Authors: Vîlcea I, Maggiori L, Burcoş T, Panis Y; -. Journal: Chirurgia (Bucur). 2016 Jul-Aug;111(4):358-64. PMID: 27604677