Patients who have the aforenamed medical conditions can be the candidates for the colectomy, but surgeons make the final decision about your suitability for the procedure.
Patient is required to stay 1 to 4 nights in the hospital
How long is the surgery?
The procedure normally takes 1 to 4 hours
Surgeons should be informed about the other illnesses the patient has, and the medications the patient has been taking. To have a cleansed colon, the patients should be taking some of the medications which their doctors prescribed (e.g., laxatives union as the surgery day approaches. Also, the patient should fast before a couple of hours of the surgery.
Colectomy is performed in numerous different ways. Colectomy can be performed either as a laparoscopic colectomy (with a medical tool called laparoscope) or as an open surgery (with an incision in the lower abdomen). Also, there are scopes of colectomy,which involve total colectomy, colorectal surgery (colon and rectum are removed) and partial colectomy in which a part of the colon is removed. Doctors would decide on the best method according to the illness the patient is suffering from and its prevalence and likelihood of relapse.After partial or total removal of the colon, the last part of colectomy may be the creation of stoma in order to divert the way waste is released from your body. This may be a permanent solution (a result of colorectal surgery) or a temporary one when the patient's colon needs to be left unused for some time in order to heal properly.Colostomy (part of the colon is diverted) and ileostomy (part of the small intestine is diverted) are the types of commonly used stomas.
The recovery process of colectomy may differ from patient to patient depending on their type and scope of colon removal. While partial colectomy has a shorter recovery period, a patient who had total colectomy usually need a longer period of time to heal and get back to their daily routine. Recovery time of colectomy is expected to be in weeks or months. Patients who had colostomy or ileostomy will be required to use waste bags attached to the stoma after the operation.
Colectomy operation has numerous risks and complications including infection, internal or external bleeding, the occurrence of a blood clot and leakage through stitched intestines.Therefore, it is beneficial to monitor the changes that occur in your body after the operation.
For most of the patients, the most significant consequence of colectomy operation is the need to temporarily or permanently living with colostomy or ileostomy, which may initially cause discomfort. Though, shortly after the operation, patients can return to their usual diet and daily activities.
There is no single success rate for colectomy operation. The success rate varies depending on the kind of colon removal and its scope(whether it is a partial colectomy or total colectomy). Success rate differs from 90% to 13% in the most complicated conditions.The way colectomy surgery was performed has a significant role in the success rate as well. If the surgery was planned beforehand as a treatment for colon cancer or colon cancer prevention, the patient would have time to prepare for the operation, which leads the success rate to rise.However, in the case of emergency colon removal, the chances for proper healing are decreasing.
Many patients who had colectomy go back to their daily life as before the procedure. Even though it might be difficult at first for the patients who need to use ileostomy or colostomy, they get used to it.
-Is Colostomy Necessary after Colectomy? No, it is not. In many cases of partial colectomy, it is possible to connect intestines, and there is no need for colostomy or ileostomy.
-Does Crohn Disease always Lead to Colectomy?
No, it is dependent on the patient’s condition and the severity of the illness.
-Which One Is Better: Traditional Colectomy or Laparoscopic Colectomy?
Even though the laparoscopic colectomy surgeries are increasing, there is no clear data for its benefits over the traditional colectomy operation. However, laparoscopic colectomy thought to have a shorter recovery period and less risk of infection.
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This content is written and reviewed by our medical content team in August, 2019.