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Laparoscopic Colectomy

Most patients in need of a partial colectomy are candidates for a laparoscopic approach. The traditional “open” procedure is safe but results in an average hospital stay of a week or more and usually 6 weeks of recovery. Laparoscopic colectomy amounts to the same operation only through smaller incisions.

It is important for your surgeon to know as much as possible about your condition before surgery. This might require obtaining a colonoscopy, CT scan, or a barium enema. It is also very important that your colon be as clean as possible before your surgery. This requires an oral bowel prep.

During a typical laparoscopic colectomy 3 – 4 one centimeter incisions are made in the abdominal wall. Working with specially designed instruments the surgeon will first free the colon from its attachments to adjacent organs. The concerning segment of colon is then safely divided and its blood supply is clamped. One of the laparoscopic incisions is then enlarged to allow removal of this colon segment. The limbs of the remaining colon are then reconnected with either sutures, staples, or both.

The entire surgery takes approximately two hours and patients are typically hospitalized for about three nights. Exhaustion and loss of appetite are often present for the first week of recovery. Many patients can return to a normal schedule within three weeks from surgery.

 
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