Laparoscopic colectomy: When to perform?

The article was professionally consulted with Master, Doctor Vu Van Quan - Gastroenterologist - Department of General Surgery & Anesthesia - Vinmec Hai Phong International General Hospital.

Colectomy is the removal of part or all of the damaged colon and rectum, possibly with removal of regional lymph nodes. Compared with traditional open surgery, laparoscopic surgery has more outstanding advantages and is increasingly being applied in medicine.

The colon is a part of the large intestine, located at the end of the digestive tract that connects with the small intestine. Based on anatomical structure, colon and rectum are divided into:
ascending colon; Transverse colon; Descending colon; Sigma colon (pelvic colon); Rectal. Or it can be divided into:
On the right side: The ascending colon and the right half of the transverse colon; On the left side: Left half of transverse colon, descending colon and sigmoid colon (pelvis hip); Rectal.

2.1. Objectives Depending on the location, extent, nature, stage, ... of the lesion, surgical removal of part or all of the colon and rectum is damaged:
Resection 1⁄2 of the colon left: Resection of sigmoid colon, descending colon and left 1⁄2 transverse colon; Resection of the left 1⁄2 large colon: Resection of the sigmoid, descending and transverse colon; Right 1⁄2 colectomy: Resection of the last 10 cm of the ileum, cecum, ascending colon and right 2 transverse colon; Resection of the right 12 large colon: Resection of the last 10 cm of the ileum, cecum, ascending colon and transverse colon; Total colectomy: Resection of the last 10 cm of the ileum, cecum, ascending colon, transverse colon, descending colon, sigmoid colon, part or all of the rectum; Resection of the ileum - cecum; Liver flexure colectomy; Transverse colectomy; Colectomy of the splenic flexure; Resection of the sigmoid colon. After partial or total colectomy, it is essential to restore digestive circulation. Surgeons will consider joining the two ends of the intestine together to return the gastrointestinal tract to the gastrointestinal tract or making an ostomy (temporary or permanent).

2.2. Cases and subjects of application Indications for surgery to remove the colon and rectum:
Most often applied to tumors in the colon and rectum; Some other cases: cancerous polyp, colonic diverticulum, necrotic intussusception, mesenteric tumor. 2.3. Contraindications The tumor is too large, the cancer has metastasized far, into the adjacent organs, to the peritoneum that cannot be resected; Patients who are elderly and weak or have severe co-morbidities that cannot perform laparoscopic surgery (eg, heart failure, respiratory failure).

Surgical removal of melanoma is an extremely important step for the treatment of colorectal cancer to be effective. Compared with the traditional open surgery method, laparoscopic colectomy has many outstanding advantages as follows:
Increased accuracy thanks to optimal quality images, no vision restriction like open surgery. ; Patients have less pain after surgery; Colon function quickly recovers; Small surgical scars help limit the risk of wound infection and ensure aesthetics; Short hospital stay due to quick wound healing; Soon return to normal activities.

At the Department of Gastroenterology of Vinmec Hai Phong International General Hospital, laparoscopic right colectomy combined with lymph node dissection is one of the key technical categories.
Although it has only been implemented since January 2019, but up to now, the number of successful laparoscopic right colectomy surgery has a rate higher than 95%, the average hospital stay is only about 5 day.
Medical standard equipment is the technical highlight of Vinmec Hai Phong, namely:
Full HD laparoscopic surgery system Karl Storz GmbH Laparoscope Ligasure REFVLF 10GEN Next to Therefore, a well-trained professional team is always the strength of human resources at Vinmec International General Hospital system. Laparoscopic colectomy surgery at Vinmec Hai Phong is performed by Master, Doctor Vu Van Quan - Doctor specializing in examination and treatment of surgical pathologies of the gastrointestinal tract, including colon and other pathologies. of the abdominal peritoneum, the abdominal wall. With his extensive practical experience, the doctor has directly conducted many successful endoscopic gastrointestinal surgery in general and right colonectomy in particular.
Patients who have surgery at the Department of Surgery, Vinmec Hai Phong Hospital enjoy outstanding benefits including:
Short hospital stay, minimizing the cost of stay, reducing the risk of hospital infections. With cases of lithotripsy, inguinal hernia, customers can always go to work after 1 day of discharge from the hospital. Limit the use of antibiotics, reduce the risk of side effects, save costs, patients do not have to worry, fear when administering antibiotics and follow up after taking the drug. Recovery rate reached 90%, re-hospitalization 0%, postoperative infection 0%. The Early Post-Surgery Care Program provides comprehensive care to patients before, during and after surgery, helping to reduce hospital stay, improve treatment quality and reduce costs; reduce the rate of complications. ERAS has been shown to shorten the average length of stay from 8-10 days to 3-4 days. Insurance: Vinmec signed with many large private insurance partners. When customers are hospitalized, they are guaranteed and compensated at the hospital. Save a lot of customer's time and effort. Other advantages : Modern equipment; Service quality according to international standards; Highly qualified doctor; Patients do not need relatives to take care of them because they are cared for by a dedicated and attentive nursing doctor... To register for examination and treatment, you can contact us at the following address:
National General Hospital Vinmec Hai Phong - Vo Nguyen Giap, Le Chan District, Hai Phong City.
Hotline: 0225 7309 888
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