Our Summary

This research paper talks about a common surgical procedure known as laparoscopic right colon resection. This procedure is usually done to treat benign (not harmful in effect) or malignant (very infectious or cancerous) diseases. Most of the time, this surgery is performed to treat cancer in the right side of the colon. This is significant because colon cancer is the third most common type of cancer worldwide. The paper mentions that in 2020, there were nearly 2 million cases of colorectal cancer, and about 40% of these were found in the right colon. Recently, a surgical technique called complete mesocolic excision has been suggested as the best option, especially for patients with right colon cancer who also have cancer in their lymph nodes. The paper emphasizes that to perform these surgeries well, surgeons must have a detailed understanding of the anatomy in this area and be skilled in using surgical instruments. This knowledge comes from the teachings of past and present surgeons and scientists.

FAQs

  1. What is a laparoscopic right colon resection and why is it performed?
  2. What is the complete mesocolic excision technique and why is it considered the best option for certain patients?
  3. Why is a detailed understanding of anatomy and skill in using surgical instruments essential for performing these surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic colectomy is to follow the pre-operative instructions provided by the medical team, such as fasting before the surgery and stopping certain medications. It is also important to discuss any concerns or questions with the surgical team before the procedure. After the surgery, it is essential to follow post-operative care instructions carefully to ensure a smooth recovery and optimal healing. This may include taking prescribed medications, avoiding heavy lifting or strenuous activity, and attending follow-up appointments with the medical team. By following these guidelines, patients can help ensure the success of their laparoscopic colectomy and promote a speedy recovery.

Suitable For

Patients who are typically recommended for laparoscopic colectomy include those with:

  1. Colorectal cancer, especially on the right side of the colon
  2. Benign tumors or polyps in the colon
  3. Inflammatory bowel disease, such as ulcerative colitis or Crohn’s disease
  4. Diverticulitis, inflammation or infection in the diverticula (small pouches in the colon)
  5. Chronic constipation or obstructive defecation syndrome

It is important for patients to undergo a thorough evaluation by their healthcare provider to determine if laparoscopic colectomy is the best treatment option for their specific condition.

Timeline

Before laparoscopic colectomy:

  1. Patient undergoes diagnostic tests and consultations with their healthcare provider to determine the need for surgery.
  2. Pre-operative preparation, including fasting, bowel preparation, and medication adjustments.
  3. Patient meets with the surgical team to discuss the procedure, risks, and expected outcomes.
  4. Patient may undergo additional tests or consultations to ensure they are fit for surgery.

During laparoscopic colectomy:

  1. Patient is placed under general anesthesia.
  2. Surgeon makes small incisions in the abdomen and inserts a laparoscope (thin tube with a camera) and surgical instruments.
  3. Surgeon removes the affected part of the colon and any surrounding lymph nodes if necessary.
  4. Procedure typically lasts 2-4 hours, depending on the complexity of the case.

After laparoscopic colectomy:

  1. Patient is monitored in the recovery room before being transferred to a hospital room.
  2. Patient may experience discomfort, bloating, and fatigue post-surgery.
  3. Patient is encouraged to walk and resume a normal diet as tolerated.
  4. Patient is discharged home within a few days or may require a longer hospital stay depending on their recovery.
  5. Follow-up appointments are scheduled to monitor healing and discuss further treatment or management of the condition.

What to Ask Your Doctor

  1. Can you explain the reasons why a laparoscopic colectomy is recommended for my specific condition?
  2. What are the potential risks and complications associated with this surgery?
  3. How long is the recovery process expected to be, and what can I do to help speed up my recovery?
  4. Will I need to make any lifestyle changes or adjustments after the surgery?
  5. Are there any dietary restrictions I should follow before or after the surgery?
  6. How will this surgery affect my bowel movements and digestive system?
  7. What type of anesthesia will be used during the surgery and what are the potential side effects?
  8. Will I need to stay in the hospital after the surgery, and if so, for how long?
  9. What are the chances of the cancer returning after the surgery, and what follow-up care will be needed?
  10. Are there any alternative treatment options available, and how do they compare to a laparoscopic colectomy?

Reference

Authors: Lirici MM, Dapri G, Huescher CGS, Marks J. Journal: Minim Invasive Ther Allied Technol. 2024 Aug;33(4):187-199. doi: 10.1080/13645706.2024.2332880. Epub 2024 Apr 8. PMID: 38587468