Our Summary

This study looked at the quality of life and severity of symptoms in patients with colorectal cancer who underwent one of two types of surgery: conventional open colectomy or laparoscopic-assisted colectomy. The study found that patients who had the laparoscopic-assisted colectomy reported a better quality of life and fewer severe symptoms than those who had the conventional surgery. The main benefit of the laparoscopic-assisted method is that it leads to less blood loss, faster recovery, and shorter hospital stays. However, patients who underwent the traditional surgery reported higher levels of insomnia and worry about their future. This suggests that those patients may need more help managing their symptoms and improving their quality of life after surgery.

FAQs

  1. What are the main differences between a conventional open colectomy and a laparoscopic-assisted colectomy?
  2. What are the benefits of the laparoscopic-assisted colectomy according to the study?
  3. How does the type of surgery affect patients’ post-surgery symptoms and quality of life?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic colectomy is to follow post-operative care instructions closely. This may include taking prescribed medications, avoiding strenuous activities, eating a healthy diet, and attending follow-up appointments with your healthcare team. By following these instructions, you can help ensure a successful recovery and improve your overall quality of life after surgery.

Suitable For

Patients who are typically recommended for laparoscopic colectomy include:

  1. Patients with early-stage colorectal cancer
  2. Patients with benign colorectal conditions such as diverticulitis or inflammatory bowel disease
  3. Patients who are younger and healthier, with a lower risk of complications
  4. Patients who prefer a minimally invasive approach and faster recovery time
  5. Patients with smaller tumors that can be easily removed laparoscopically
  6. Patients who have not had previous abdominal surgeries that may make laparoscopic surgery more challenging

It is important for patients to discuss their individual medical history and condition with their healthcare provider to determine if laparoscopic colectomy is the most appropriate treatment option for them.

Timeline

-Before laparoscopic colectomy:

  1. Patient goes through pre-operative evaluation and preparation, including physical exams, blood tests, and imaging studies.
  2. Patient meets with a surgeon to discuss the procedure, risks, and recovery process.
  3. Patient may need to follow a special diet or take certain medications in preparation for surgery.
  4. Patient undergoes laparoscopic colectomy procedure, which involves making several small incisions in the abdomen to remove part of the colon.
  5. Patient is monitored in the recovery room before being transferred to a hospital room.
  6. Patient may experience pain, discomfort, and fatigue in the immediate post-operative period.

-After laparoscopic colectomy:

  1. Patient is closely monitored by medical staff for signs of complications such as infection or bleeding.
  2. Patient is gradually allowed to start eating and drinking again.
  3. Patient may need to do breathing exercises and walk around to prevent complications such as pneumonia and blood clots.
  4. Patient is discharged from the hospital once they are able to tolerate food, walk, and manage pain with oral medications.
  5. Patient may experience some fatigue, pain, and changes in bowel habits as they recover at home.
  6. Patient follows up with their surgeon for post-operative care and monitoring.
  7. Patient gradually resumes normal activities and may need physical therapy or counseling to address any lingering symptoms or concerns.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic colectomy include:

  1. What are the specific benefits of laparoscopic colectomy compared to traditional open colectomy?
  2. What is the recovery time and expected hospital stay after laparoscopic colectomy?
  3. What are the potential risks and complications associated with this type of surgery?
  4. Will I need any special post-operative care or follow-up appointments after the surgery?
  5. How long will it take for me to resume normal activities and return to work after the surgery?
  6. What can I expect in terms of pain management and discomfort after the surgery?
  7. Are there any dietary or lifestyle changes I should make before or after the surgery?
  8. How will the surgery affect my quality of life and daily activities in the long term?
  9. Will I need any additional support or resources to help me cope with any emotional or psychological effects of the surgery?
  10. Are there any alternative treatments or surgical options that I should consider before proceeding with laparoscopic colectomy?

Reference

Authors: Niu SF, Cheng SY, Chin CH. Journal: Cancer Nurs. 2021 Jul-Aug 01;44(4):E221-E228. doi: 10.1097/NCC.0000000000000793. PMID: 32132368