Possible complications in laparoscopic open colectomy


Expansion laparoscopic surgery is a modern method widely used all over the world, although surgery is not a definitive cure, it helps to prevent the development of the disease. with the patient.

1. What is colon and colonoscopy?

The colon, also known as the large intestine, is the part of the body at the end of the digestive tract. After food is absorbed and digested in the small intestine, the residue will be taken to the colon to be taken out of the anus. The colon is made up of three parts: the right colon, the transverse colon, and the left colon.
Laparoscopic colectomy is a minimally invasive technique that allows the doctor to remove part of the colon through small incisions.
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Extended colectomy is the resection of the strong pedicles that supply the colon, according to the classics, plus removal of the right branch of the medial vascular bundle, ensuring a cut area of ​​at least 5cm from the tumor. Extensive surgery also ensures removal of the middle colonic arteries. The tumor is located in the middle of the transverse colon, when the anastomosis is done between the ileum and the left colon
In addition, there are different types of surgery depending on the location as follows:
Right colectomy and left colectomy is removal part of the right and left colon and 1/3 of the transverse colon Resection of 2/3 of the transverse colon is called an extended colectomy Total colectomy is the removal of the entire colon

2. Indications and contraindications


Indications:
Indications for open colectomy when indicated by a doctor, usually for colon cancer or tumor.
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Contraindications:
Patients with too large tumors, metastatic cancer to stage four Patients who have no endurance, the elderly are too weak, or have serious underlying diseases such as heart failure, respiratory failure.

3. Advantages and disadvantages of laparoscopic colectomy


Laparoscopic colectomy is a modern technique that has outstanding advantages such as:
Helps patients usually have less pain after surgery Patients often show signs of faster recovery Shortening hospital stay , thus saving costs for the patient. After surgery, the patient can usually eat again soon. Small incisions should look more aesthetic. Cons:
For laparoscopic widening surgery, only surgical intervention with small tumors less than 5cm
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4. Complications of laparoscopic colectomy after surgery


Some complications of laparoscopic colectomy after surgery are as follows:
Bleeding Infection Injury to the bladder, ureters, blood vessels, intestinal obstruction after surgery, easy adhesions, intestinal volvulus Patients often have complications other symptoms on cardiovascular and respiratory... The patient has signs of abdominal pain that increases more and lasts longer. There is often redness at the incision site and it is widespread, in addition to pain. Abdominal distension, with nausea and vomiting. Patients often have colds and fevers The discharge is more frequent and has a bad smell. A second surgery may be required at Vinmec International General Hospital with a system of modern facilities and medical equipment. With a team of experts and doctors with many years of experience in the examination and treatment of neurological diseases, patients can rest assured that they will be examined and treated at the Hospital.
To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register online HERE.

SEE MORE
Laparoscopic procedure for right extension colectomy with lymph node dissection Advantages of gastroscopy and colonoscopy with anesthesia Laparoscopic right and left colectomy in the treatment of rectal cancer

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