Miles surgery is a method of removing the entire rectum and pelvic colon through both the abdominal and perineal approaches. This is also one of the highly effective treatment methods.
1. What is colorectal cancer?
Colorectal cancer occurs when abnormal growths develop in the colon or rectum, forming polyps of various sizes. These polyps can be benign or malignant. However, if left untreated, polyps may turn into cancer, leading to colorectal cancer.
When a polyp is detected during an endoscopy, the doctor will assess its condition to decide whether to remove it or leave it in place. If the polyp is malignant, removal is necessary to prevent further spread and the progression of cancer. Depending on the severity and the patient's condition, the doctor will determine whether colorectal surgery is required.
2. When is colorectal cancer surgery necessary?
A colectomy involves removing a portion or the entire colon to eliminate damaged or diseased sections. The goal is to prevent cancer from progressing. During the surgery, the affected segment of the colon is removed, and the remaining healthy sections are reconnected.
3. What surgical methods are available for colorectal cancer?
Currently, there are two main methods for colorectal surgery: open surgery and laparoscopic surgery.
3.1 Open surgery
In an open colectomy, a long incision is made in the abdomen to remove the diseased section of the colon.
3.2 Laparoscopic surgery
- A small incision is made in the abdomen, and a tiny camera is attached to a surgical instrument, allowing the surgeon to visualize and magnify the surgical field. A second small incision is typically made to extract the affected tissue.
Preoperative preparation: The patient must take medication 4 hours before surgery to induce bowel movements, ensuring the colon is clean to prevent infection and facilitate the procedure. Fasting is required. The night before surgery, the patient should consume soft foods like porridge.
Laparoscopic surgery requires highly skilled surgeons and advanced medical equipment for optimal outcomes.
4. Postoperative care for colorectal cancer surgery
- One day after surgery: Patients should start walking gently to stimulate bowel movements and improve circulation.
- Nutrition: Initially, nutrition is provided intravenously for 4 to 5 days. After that, the patient can start eating light meals.
- Hospital discharge: Patients may be discharged after 1 to 2 weeks.
- Recovery: Normal activities can resume after 1 to 3 weeks, but complete recovery takes longer.
Nowadays, most colorectal surgeries are performed laparoscopically due to their numerous advantages. Compared to open surgery, laparoscopic surgery results in smaller scars, reduced postoperative pain, faster recovery, and shorter hospital stays. However, if complications arise, surgeons may switch to open surgery during the procedure.
Vinmec International Hospital applies laparoscopic surgery with a team of highly experienced doctors and state-of-the-art medical equipment, providing safe and effective treatment for patients.
To arrange an appointment, please call HOTLINE or make your reservation directly HERE. You may also download the MyVinmec app to schedule appointments faster and manage your reservations more conveniently.
