Ascending colectomy; Descending colectomy; Transverse colectomy; Right hemicolectomy; Left hemicolectomy; Hand assisted bowel surgery; Low anterior resection; Sigmoid colectomy; Subtotal colectomy; Proctocolectomy; Colon resection; Laparoscopic colectomy; Colectomy - partial; Abdominal perineal resection
Large bowel resection is surgery to remove all or part of your large bowel. This surgery is also called colectomy. The large bowel is also called the large intestine or colon.
The large bowel connects the small intestine to the anus. Normally, stool passes through the large bowel before leaving the body through the anus.
You will get general anesthesia before your surgery. This will make you asleep and pain-free. The surgery can be performed laparoscopically or with open surgery.
Depending on what type of procedure you have, your surgeon will make one or more cuts in your belly.
In a laparoscopic colectomy, the surgeon uses a camera to see inside your belly and small instruments to remove part of your large bowel. You will have three to five small cuts in your lower belly. The surgeon passes the medical instruments through these cuts.
For open colectomy, your surgeon will make a 6- to 8-inch cut in your lower belly.
In most cases, the colostomy is short-term. It can be closed with another operation later. But, if a large part of your bowel is removed, the colostomy may be permanent.
Your surgeon may also look at lymph nodes and other organs, and may remove some of them.
Colectomy surgery usually takes between 1 and 4 hours.
Large bowel resection is used to treat many conditions, including:
Other reasons to perform bowel resection are:
Fry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Coln and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 50.
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