Our Summary

This research paper discusses the increasing use of laparoscopic surgery for treating colorectal cancer over the past 15 years. Laparoscopic surgery is a minimally invasive procedure that uses small incisions and specialized tools, including a camera, to perform operations.

There are different types of laparoscopic surgeries - multiport laparoscopy, single-incision laparoscopy, and hand-assisted laparoscopy. The choice of type depends on the patient’s condition and the surgeon’s skills and preferences.

The paper stresses that learning how to perform these surgeries can be challenging and often requires specialized training. But once a surgeon becomes proficient, they can perform a high volume of these procedures. The report provides a detailed review of these techniques, how to handle complex cases, and the learning process to become proficient.

FAQs

  1. What are the common minimally invasive techniques for laparoscopic colorectal surgery?
  2. What factors determine the choice of technique for laparoscopic colorectal surgery?
  3. What does the learning curve for proficiency in laparoscopic colorectal surgery involve?

Doctor’s Tip

One helpful tip a doctor might tell a patient about colorectal surgery is to follow all pre-operative instructions carefully, including any dietary restrictions and bowel preparation requirements. This will help ensure a successful surgery and smooth recovery process. Additionally, it is important to communicate openly with your healthcare team about any concerns or questions you may have before and after the procedure.

Suitable For

Patients who are typically recommended for colorectal surgery include those with colorectal neoplasia such as colorectal cancer or polyps, inflammatory bowel disease, diverticulitis, and other colorectal conditions that require surgical intervention. Patients who have failed conservative management or have complications related to their condition may also be candidates for colorectal surgery. It is important for patients to be evaluated by a colorectal surgeon to determine the most appropriate surgical approach and technique for their individual case.

Timeline

Before colorectal surgery:

  • Patient undergoes pre-operative evaluation and testing, including blood work, imaging studies, and possibly a colonoscopy.
  • Patient may need to follow a special diet or take medications to prepare for surgery.
  • Patient meets with the surgical team to discuss the procedure, potential risks, and expected outcomes.
  • Patient may need to stop certain medications before surgery and arrange for transportation to and from the hospital.

After colorectal surgery:

  • Patient is monitored closely in the recovery room for any complications.
  • Patient is given pain medication and fluids through an IV.
  • Patient may have a temporary colostomy or ileostomy, which will be managed by a specialized nurse.
  • Patient may need to stay in the hospital for a few days or longer, depending on the type of surgery and their overall health.
  • Once discharged, patient will need to follow post-operative care instructions, including wound care, diet modifications, and physical activity restrictions.
  • Patient will have follow-up appointments with their surgical team to monitor healing and address any concerns.

What to Ask Your Doctor

  1. What are the benefits of laparoscopic colorectal surgery compared to traditional open surgery?
  2. What are the potential risks and complications associated with laparoscopic colorectal surgery?
  3. How experienced are you in performing laparoscopic colorectal surgery?
  4. How long will the surgery take and what is the expected recovery time?
  5. Will I need a temporary ostomy after the surgery?
  6. What kind of follow-up care will be needed after the surgery?
  7. What is the success rate of laparoscopic colorectal surgery for my specific condition?
  8. Are there any alternative treatment options to consider?
  9. How many of these surgeries have you performed and what is your success rate?
  10. What should I expect in terms of pain management after the surgery?

Reference

Authors: Parker JM, Feldmann TF, Cologne KG. Journal: Surg Clin North Am. 2017 Jun;97(3):547-560. doi: 10.1016/j.suc.2017.01.005. PMID: 28501246