Our Summary

This research paper aims to provide clear definitions for different types of surgeries (colectomies) used to treat colon cancer. These definitions are based on factors like the extent of the surgery, where to cut off blood supply, and whether a part of the colon called the “greater momentum” needs to be removed. The researchers used a method called the Delphi methodology, where they asked 120 experts from the Spanish Association of Surgeons for their opinions. The consensus was very strong or strong for the definitions of each surgery. The types of surgeries defined included right hemicolectomy, extended right hemicolectomy, transverse colon segmental colectomy, splenic flexure segmental colectomy, subtotal colectomy, total colectomy, left hemicolectomy, extended left hemicolectomy, and sigmoidectomy. This work is important for standardizing treatment for colon cancer patients worldwide.

FAQs

  1. What method was used to gather expert opinions on the definitions of different types of colectomies?
  2. What factors were considered in defining the different types of surgeries used to treat colon cancer?
  3. Why is the research on defining different types of colectomies important for colon cancer treatment?

Doctor’s Tip

A helpful tip a doctor might tell a patient about colectomy is to follow the post-operative care instructions carefully, including taking prescribed medications, maintaining a healthy diet, and avoiding strenuous activities until fully healed. It is also important to attend follow-up appointments with your healthcare provider to monitor your recovery and address any concerns.

Suitable For

Patients who are typically recommended for colectomy include those with:

  1. Colon cancer: Colectomy is a common treatment for colon cancer, especially in cases where the cancer has spread or is located in a specific part of the colon.

  2. Inflammatory bowel disease (IBD): Patients with severe cases of Crohn’s disease or ulcerative colitis may require a colectomy to remove the affected portion of the colon.

  3. Diverticulitis: In cases where diverticulitis causes severe complications such as bowel perforation or abscess formation, a colectomy may be necessary to remove the affected portion of the colon.

  4. Familial adenomatous polyposis (FAP): Patients with FAP, a genetic condition that causes the development of multiple polyps in the colon, may require a colectomy to prevent the development of colon cancer.

  5. Bowel obstruction: Patients with a bowel obstruction that cannot be relieved with other treatments may require a colectomy to remove the blockage.

  6. Chronic constipation: In rare cases, patients with chronic constipation that does not respond to other treatments may benefit from a colectomy to improve bowel function.

Overall, colectomy is recommended for patients with serious conditions affecting the colon that cannot be effectively treated with other therapies. It is important for patients to discuss the risks and benefits of colectomy with their healthcare provider to determine if it is the best course of treatment for their individual situation.

Timeline

  • Before colectomy:
  1. Patient undergoes various diagnostic tests such as colonoscopy, CT scans, and blood tests to confirm the presence of colon cancer.
  2. Patient meets with a surgical team to discuss the recommended surgery and potential risks and benefits.
  3. Patient may be required to follow a special diet or bowel preparation regimen in the days leading up to the surgery.
  4. Patient may undergo counseling or education sessions to prepare mentally and emotionally for the surgery.
  5. On the day of surgery, patient is admitted to the hospital and undergoes the colectomy procedure.
  • After colectomy:
  1. Patient wakes up in the recovery room and is closely monitored for any complications.
  2. Patient may experience pain, fatigue, and discomfort in the days following surgery.
  3. Patient will be gradually introduced to a liquid diet and then progress to solid foods as tolerated.
  4. Patient will be encouraged to walk and engage in light physical activity to aid in recovery.
  5. Patient will have follow-up appointments with the surgical team to monitor healing and discuss any concerns or complications.
  6. Patient may be referred to a dietitian or physical therapist to help with recovery and adjusting to life after colectomy.

What to Ask Your Doctor

  1. What type of colectomy do you recommend for my specific condition and why?

  2. What are the potential risks and complications associated with the colectomy surgery?

  3. What is the expected recovery time and rehabilitation process following the colectomy?

  4. Will I need to make any lifestyle changes or follow a specific diet after the surgery?

  5. How will the colectomy surgery affect my bowel function and digestion?

  6. Are there any alternative treatment options to colectomy that I should consider?

  7. How often will I need follow-up appointments and monitoring after the colectomy surgery?

  8. What is the long-term prognosis for patients who undergo a colectomy for colon cancer?

  9. Are there any specific pre-operative preparations or tests that I need to undergo before the colectomy surgery?

  10. Can you provide me with information on support groups or resources for patients who have undergone a colectomy surgery?

Reference

Authors: Garcia-Granero A, Martín-Martín GP, Dujovne-Lindenbaum P, Alvarez Laso CJ, Cerdán-Santacruz C, Flor-Lorente B, Biondo S; miembros de la Junta de la Sección Coloproctología de la AEC y colaboradores en la confección del presente estudio. Journal: Cir Esp (Engl Ed). 2024 Sep;102(9):484-494. doi: 10.1016/j.cireng.2024.05.012. Epub 2024 Jun 6. PMID: 38851318