A colectomy is a surgical procedure to remove all or part of the left or right colon. The colon is part of the large intestine, a long, tube-shaped organ at the end of the digestive tract. Colectomy may be necessary to treat and prevent diseases and conditions affecting the colon.
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The colon, the longest part of the large intestine, continues from the small intestine for about 1.5 meters. Its main function is to absorb water from the stool, making it less fluid.
Colon surgery, known as colectomy, involves removing a portion or the entire affected colon. After this resection, the intestinal passage is restored by stitching or connecting the two remaining parts of the intestine.
In some cases, particularly when healing of this connection is a concern, an artificial anus or stoma may be created, often temporarily, to ensure proper evacuation of stool.
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Colon surgery is generally recommended in the following situations:
If you are experiencing persistent digestive symptoms (abdominal pain, bowel disturbances, bleeding, etc.) or have been diagnosed with a condition that may require colon surgery, it is crucial to consult an experienced gastrointestinal surgeon.
A personalized approach allows for a thorough evaluation of the need for surgery, a clear understanding of the procedure, and the selection of the most suitable surgical technique (open surgery or laparoscopy, with or without a stoma).
Depending on the portion of the colon to be removed, several types of colectomy can be considered. Each one aims to remove only the diseased section while preserving digestive function as much as possible.
| Type of colectomy | Characteristics |
|---|---|
| Total colectomy | Removal of the entire colon. |
| Right hemicolectomy | Removal of the right side of the colon and a small portion of the small intestine. |
| Left hemicolectomy | Removal of the left portion of the colon. |
| Transverse colectomy | Removal of the transverse section of the colon (between the right and left sides). |
| Sigmoid colectomy | Removal of the sigmoid colon, often affected in cases of diverticulitis. |
Regardless of the type of colectomy performed, two surgical approaches are possible:
Before undergoing colon surgery, several key steps must be followed to optimize surgical conditions and ensure the patient's safety.
The preoperative process usually begins with bowel preparation, which involves:
The goal is to completely empty the colon to provide the surgeon with a clear view of the area to be treated and reduce the risk of infection during and after the procedure.
Before the operation, a diagnostic colonoscopy may be performed. This involves inserting a thin, flexible tube equipped with a camera through the rectum into the colon. This examination helps to:
After a colectomy, the body needs time to adjust to the new configuration of the digestive system. It's completely normal to experience temporary bowel disturbances, such as irregular stools (constipation or diarrhea),bloating, or mild abdominal discomfort.
To support healing and reduce digestive symptoms, a low-residue diet is often recommended. This diet favors easily digestible foods and limits fiber, which can irritate the colon during recovery.
This diet is typically temporary and gradually adjusted based on the patient's progress.
In some cases, a stoma may be necessary, such as a colostomy or ileostomy. This is an opening created in the abdominal wall to allow stool to be evacuated into an external pouch.
Patients with a stoma are supported by specialized nurses who teach them how to properly care for the stoma, manage daily hygiene, and regain confidence in their social life.
Depending on the reason for the colectomy, particularly in the case of colorectal cancer, additional treatment may be needed after surgery, such as:
Postoperative follow-up is essential to monitor healing, prevent complications, and ensure a safe return to normal life.
Finally, a balanced diet, adequate hydration, and light physical activity (such as walking) help speed up recovery. These habits are also crucial to reduce the risk of recurrence and improve long-term quality of life.
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