Robotic Myomectomy Surgery

Sigmoid Colectomy

What Is Sigmoid-Colectomy Surgery?

Sigmoid-colectomy surgery involves removing the left side of the colon and reattaching the ends if at all possible. After administering general anesthesia, the surgeon makes an incision approximately fifteen inches long in the middle part of the lower abdomen in order to free the colon loop and the upper rectum from the patient’s stomach. Thereafter, the surgeon removes the diseased part of the colon and in most cases, the ends are rejoined. In cases where reattachment is impossible or unsafe, the waste is rechanneled through an opening in the abdomen called a colostomy, thus, requiring the patient to wear a bag to collect the waste material………

The operation

You will have a general anaesthetic, and will be asleep for the whole operation. A cut is made in the skin in the middle lower part of the abdomen about 40cm (15 inches) long. The left side of the colon loop and the upper rectum are freed from the inside of the tummy. The diseased part is cut out and usually the ends are joined together. Sometimes it is safer if the ends are not joined together. Then the bowel waste is channelled through the bowel which opens in the front of your tummy (a colostomy), and you need to wear a bag. This looks like a big nipple of pink bowel stuck to the tummy skin. Usually the ends are joined up at a later date……

Possible Complications

As with any operation under general anaesthetic, there is a very small risk of complications related to your heart and lungs. The tests that you will have before the operation will make sure that you can have the operation in the safest possible way and will bring the risk for such complications very close to zero………

Chemotherapy

After the surgeon removes the section of the colon, a pathologist evaluates the cancer under a microscope. If the pathologist sees evidence that cancer has spread to the lymph nodes, or if the cancer is a type that grows quickly, the oncologist will usually recommend further treatment with chemotherapy.

Follow-up Care

After a colectomy, bowel movements might be more frequent. Bowel movements usually become more normal after one year. Your doctor can recommend a bowel care plan to help normalize bowel movements. The most common time a cancer recurs is within the first two years following diagnosis and treatment. Follow-up care with the surgeon, gastroenterologist and oncologist is important. Periodic checkups may include a physical exam, blood tests, colonoscopy, CT scan or PET scan….

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