18 اسفند Colectomy for treating colon cancer
Dr. Alemrajabi – Colectomy is a surgical procedure to remove all or part of your colon. Colectomy may be necessary to treat or prevent diseases and conditions that affect your colon.
There are 4 types of colectomy operations which Included:
- Total colectomy involves removing the entire colon.
- Partial colectomy involves removing part of the colon and may also be called subtotal colectomy.
- Hemicolectomy involves removing the right or left portion of the colon.
- Proctocolectomy involves removing both the colon and rectum.
During the days leading up to your colon surgery, your doctor may ask that you:
- Stop taking certain medications. Certain medications can increase your risk of complications during surgery, so your doctor may ask that you stop taking those medications before your surgery.
- Fast before your surgery. Your doctor will give you specific instructions. You may be asked to stop eating and drinking several hours to a day before your procedure.
- Take antibiotics. In some cases, your doctor may prescribe antibiotics to suppress the bacteria found naturally in your colon and to help prevent infection.
- Drink a solution that clears your bowels. You should drink some solutions before your surgery. These solutions causes diarrhea to help empty your colon. On the day of your surgery, your health care team will take you to a preparation room. Your blood pressure and breathing will be monitored. You may receive an antibiotic medication through a vein in your arm. Then You’ll be given a general anesthesia medication.
The type of operation you undergo depends on your situation and your surgeon’s expertise. Laparoscopic colectomy may reduce the pain and recovery time after surgery. But not everyone is a candidate for this procedure. Also, in some situations your operation may begin as a laparoscopic colectomy, but circumstances may force your surgical team to convert to an open colectomy.
Once the colon has been repaired or removed, your surgeon will reconnect your digestive system to allow your body to expel waste. Options may include:
Rejoining the remaining portions of your colon. The surgeon may stitch the remaining portions of your colon together or attach your colon to your small intestine, creating what is called an anastomosis.
Connecting your intestine to an opening created in your abdomen. The surgeon may attach your colon (colostomy) or small intestine (ileostomy) to an opening created in your abdomen. This allows waste to leave your body through the opening (stoma).
You may wear a bag on the outside of the stoma to collect stool. This can be permanent or temporary.