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Encyclopedia of Cancer | Colectomy   (Site not responding. Last check: 2007-10-10) Colectomy is the surgical removal of all or part of the colon, the first part of the large intestine. Doctors perform colectomy to remove large Stage I colon cancer lesions or to cure colon cancer that: has spread beyond the mucous membrane, has infiltrated or spread beyond the intestinal wall, or is likely to recur. Performed in a hospital, under general anesthesia, this procedure involves removing the cancerous part of the colon, a margin of normal bowel, and any tissue or lymph nodes affected by the disease, and reconnecting the healthy segments of the colon (anastomosis). health.enotes.com /cancer-encyclopedia/colectomy/print   (950 words)

Colectomy - Wikipedia, the free encyclopedia Colectomy consists of the surgical resection of any extent of the large bowel (colon). Prophylactic colectomy can be indicated in some forms of polyposis, Lynch syndrome and certain cases of inflammatory bowel disease because of high risk for development of colorectal cancer (malignization). Traditionally, colectomy is performed via an abdominal incision (laparotomy), though minimally invasive colectomy, by means of laparoscopy, is growing both in scope of indications and popularity, and is a well-established procedure as of 2006 in many medical centers. en.wikipedia.org /wiki/Colectomy   (427 words)

Colectomy definition - Medical Dictionary definitions of popular medical terms Colectomy: Surgery during which all or part of the colon (also called the large intestine) is removed. In all colectomies, the bowel is either reconnected afterward (which is called an anastomosis) or the surgeon creates an ostomy, an opening of the bowel on the abdominal wall, to allow the contents of the bowel to exit from the body. Colectomy may be needed for treatment of different types of problems, including diverticulitis, benign polyps of the colon and cancer of the colon. www.medterms.com /script/main/art.asp?articlekey=12529   (297 words)

Colectomy Information on Healthline This surgery allows the surgeon to view the internal organs very clearly.Laparoscopic colectomy requires only a few small incisions, enables doctors to view the internal organs, and results in a shorter hospital stay and fewer side effects. The day before the operation, the patient may consume only clear liquids, and may take nothing by mouth after midnight.To reduce the possibility of infection, antibiotics are given to the patient the night before the operation. Patients who have had colostomies often worry about:A patient who is depressed about sexual dysfunction, bowel problems, or other aspects of treatment may benefit from professional counseling or from joining a support group. www.healthline.com /galecontent/colectomy   (403 words)

Partial colectomy for diverticular disease Surgical treatment of diverticulitis or diverticular bleeding involves removing the diseased part of the colon (partial colectomy) and then joining the remaining sections. Though it has usually been done as an open procedure in which a large incision is made in the abdomen, recent studies suggest that laparoscopic surgery, which is done with instruments including a viewing scope inserted through small incisions, is a better option. A partial colectomy may be done in one step, or it may require more than one surgery (two-stage operation). www.bchealthguide.org /kbase/topic/detail/surgical/hw252327/detail.htm   (808 words)

LAPAROSCOPIC COLECTOMY: AN UPDATE Surgeons are increasingly performing laparoscopic colectomy procedures, benefiting from both the advancements made in instrumentation and their own accumulating experience. Right colectomy, left hemicolectomy and low anterior resection were the types of colon resections included in the study; the patients had undergone the procedures for the treatment of benign disease, cancer palliation and localized malignancies. Detailed reports of surgeons' experiences with laparoscopic colectomy have only recently been published and continue to be disseminated by a handful of experts, many of whom have themselves only been using the techniques for the past five years or so. www.lapsurgery.com /Lif_cole.htm   (4042 words)

Department of Surgery Open colectomy is the standard form of surgery for colon cancer patients, but laparoscopically assisted colectomy is gaining momentum as an alternative that is just as effective but is less invasive, leading to a quicker post-operation recovery time. Abdominal incisions for traditional colectomy can be as long as 10 to 12 inches, but with laparoscopic surgery, each small incision is usually less than 1 inch. Rivadeneira believes that the study results clearly indicate that laparoscopic colectomy is an acceptable alternative to open colectomy and that it may even have some advantages over conventional surgery for many patients. www.uhmc.sunysb.edu /surgery/lap-colectomy-news.html   (600 words)

Colon Cancer * Laparoscopic colorectal surgery for cancer: Is it ready for prime time? * colon cancer surgery The benefits of minimally invasive colectomy for cancer are similar to those seen for benign disease, and are related to less surgical trauma. This study notes that patients that underwent laparoscopic colectomy had fewer tumor recurrences and were less likely to die from colon cancer compared with patients that underwent open colectomy(6). However before laparoscopic colectomy can be advocated routinely for colorectal cancer, recurrence and survival data from larger, multicenter randomized trials, such as the one sponsored by the National Cancer Institute must be analyzed. www.cancernews.com /articles/laparoscopiccancersurgery.htm   (2028 words)

Coletomy May Reduce Treatment Time and Reduce Damage to Surrounding Tissues A colon resection (colectomy) is an inpatient procedure involving the surgical excision of the cancerous portion of your colon. In a laparoscopic colectomy, a small incision is made above your belly button and several small “keyhole” incisions are places around the abdominal cavity. Depending on the extent of your colectomy surgery, you may need to have a temporary or permanent colostomy. www.cancercenter.com /colorectal-cancer/colectomy.cfm   (347 words)

Medical Dictionary: Colectomy - WrongDiagnosis.com Colectomy: An operation to remove all or part of the colon. In an open colectomy, one long incision is made in the wall of the abdomen and doctors can see the colon directly. In a laparoscopic-assisted colectomy, several small incisions are made and a thin, lighted tube attached to a video camera is inserted through one opening to guide the surgery. www.wrongdiagnosis.com /medical/colectomy.htm   (250 words)

Laparoscopic surgery vs. open colectomy for colon cancer American Family Physician - Find Articles   (Site not responding. Last check: 2007-10-10) However, 21 percent of patients randomized to a laparoscopic technique had to be converted to open colectomy at the time of surgery. Over a median follow-up period of 4.4 years, the rate of tumor recurrence was not significantly different between laparoscopic colectomy and open colonic resection (16 versus 18 percent). The study group concludes that laparoscopic colectomy is at least as effective as a standard open technique with respect to rates of operative complications, tumor recurrence, and overall survival. www.findarticles.com /p/articles/mi_m3225/is_2_71/ai_n9486506   (461 words)

Colectomy Colectomy hemicolectomy right what can I expect after surgery, you see any and all types of appropriate instruments. Keyhole operations to apply videolaparoscopy colectomy to colorectal operations was to assist. Colectomy is among the technique into the cause an infection. colectomy.bodaily.net   (205 words)

Laparoscopic Colectomy - New England Minimally Invasive Surgeons Since the adenomatous polyp is benign, removal of the polyp itself results in a significant decrease in the chances that a patient will develop colon cancer. When these lesions are too large to be completely removed by a colonoscopy, your doctor will recommend that the polyp bearing section of your colon be removed (colectomy). In such cases, laparoscopic colectomy provides a safe, minimally invasive alternative to standard open colon resection. www.smallscars.com /pages/proc_dx/colectomy.html   (433 words)

LAPAROSCOPIC COLECTOMY Colectomy, or removal of part of the colon, is one of the most common laparoscopic procedures. After Dr. Ballantyne locates the affected area with help of the laparoscope, the vessels surrounding the diseased portion of the colon are sealed and cut. LAPAROSCOPIC COLECTOMY - Laparoscopic removal of a part of the colon for diverticulitis, colon cancer, rectal cancer, colorectal cancer, Crohn's Disease, Chronic Ulcerative Colitis, rectal prolapse, volvulus, sigmoid volvulus, cecal volvulus or constipation. www.lapsurgery.com /colectom.htm   (1018 words)

When should prophylactic colectomy be considered in patients with ulcerative colitis? Prophylactic colectomy refers to the decision for surgery when none of the usual indications are present. If we perform colonoscopy with extensive biopsies every 1 to 3 years and recommend colectomy if dysplasia is detected in any biopsy specimen, we can expect to decrease the mortality rate by at least 50%. Patients who are averse to this risk of cancer and cannot accept the imperfect nature of cancer surveillance should have a prophylactic colectomy. www.clevelandclinicmeded.com /ccjm/march2003/lashner.htm   (943 words)

Laparoscopic colectomy for cancer - Mark Fusco MD Concern that this approach would compromise survival by failing to achieve a proper oncologic resection or adequate staging or by altering patterns of recurrence (based on frequent reports of tumor recurrences within surgical wounds) prompted a controlled trial evaluation. Methods We conducted a noninferiority trial at 48 institutions and randomly assigned 872 patients with adenocarcinoma of the colon to undergo open or laparoscopically assisted colectomy performed by credentialed surgeons. Conclusions In this multi-institutional study, the rates of recurrent cancer were similar after laparoscopically assisted colectomy and open colectomy, suggesting that the laparoscopic approach is an acceptable alternative to open surgery for colon cancer. www.markfuscomd.com /lap_colon_ca.htm   (326 words)

Colectomy A colectomy (ko-LEK-tuh-mee) is surgical removal of the colon, or large intestine. Colectomies can be performed through a single long incision in the abdomen (an open colectomy), or several small incisions (a laparoscopic colectomy). Following a colectomy, you'll need a diet high in calories, but low in fat. www.healthsquare.com /mc/fgmc6015.htm   (2012 words)

Clinical Trial: Comparison of Laparoscopic Colectomy Versus Open Colectomy for Colorectal Cancer: … A Prospective ... Assuming a 70% 5-year, cancer-related survival of stage II and III colorectal cancer patients in the open colectomy group, a minimum of 100 patients per group was required to showed that both surgical techniques were equivalent with an α-level of 0.20 and a β error of 0.05. However, the cons insist that first of all, when the summation of 4 or 5 ports, and incisional wound to retrieve specimen in laparoscopic colectomy were considered, the total wound size in laparoscopic colectomy is basically similar to that of the open colectomy. Secondly, since the laparoscopic surgeons advocated that the extent of intra-abdominal dissection was the same between laparoscopic and open colectomy, it seems illogical to speculate that laparoscopic procedure is less invasive for the colorectal cancer patients than the open procedure. clinicaltrials.gov /ct/show/NCT00155727   (868 words)

Benefits of Colonoscopic Surveillance and Prophylactic Colectomy in Patients with Hereditary Nonpolyposis Colorectal ... If colorectal cancer develops, segmental resection of the cancer is performed; the patient must continue to undergo surveillance and is at risk for a second primary tumor. If subtotal colectomy is performed, the patient must continue to undergo surveillance and is at risk for a second primary tumor. Other colectomy strategies examined follow similar paths, with variations of timing of colectomy based on the particular strategy being evaluated. www.annals.org /cgi/content/full/129/10/787/F2   (246 words)

Laparoscopically assisted colectomy Minimally invasive surgery has been used for gallbladder procedures for a number of years at Abington Memorial Hospital and has significantly shortened morbidity and length of stay as compared to traditional surgery. A recent study (N Engl J Med 2004; 350: 2050-9) provides a direct comparison of laparoscopically assisted colectomy (LAC) with open colectomy (OC). Josloff, a laparoscopic surgeon also from the Department of Surgery at Abington Memorial Hospital, comments that this solid, multi-institutional study demonstrates the equivalent outcomes of LAC and OC in selected patients with colon cancer with less morbidity and shorter hospital stays. www.amh.org /newsinfo/laparcolectomy.htm   (337 words)

SAGES Publication: ASCRS/SAGES Guidelines for Laparoscopic Colectomy Course A Focus Group on Laparoscopic Colectomy Education was convened and has developed a guideline for educating trained surgeons in the use of laparoscopic colectomy for colorectal disease. The group was convened at Washington University in St. Louis in July 2004 and again at the annual meeting of the American College of Surgeons in New Orleans in October 2004. A prerequisite for participation in an advanced course is demonstration of the availability of a mentor or preceptor who has a significant experience with laparoscopic colectomies or other advanced laparoscopic procedures. www.sages.org /sagespublication.php?doc=COLEC   (1231 words)

Bronchiectasis following colectomy for Crohn's disease -- Eaton et al. 53 (6): 529 -- Thorax Bronchiectasis developing following colectomy for ulcerative colitis has been reported in a few cases. We believe this to be the first report of bronchiectasis developing within a year of colectomy in a patient with Crohn's disease. colectomy and, unlike idiopathic bronchiectasis, a repeated failure thorax.bmjjournals.com /cgi/content/full/53/6/529   (944 words)

MIS | Colectomy A colectomy is the removal of a portion of the bowel. During a laparoscopic colectomy, four or five one-half inch incisions are made. The diseased section of colon is removed using special, and the remainder of the colon is reattached to retain the functionality of the lower digestive tract. www.rosseramti.com /MIS/colectomy.html   (423 words)

More Research Needed for Laparoscopic-Assisted Colectomy In a laparoscopic-assisted colectomy, a few one-centimeter incisions are made in the patient’s abdomen. Researchers recently conducted a multi-center study evaluating the short-term quality of life benefits of laparoscopic-assisted colectomy compared to open colectomy for the treatment of colon cancer. Furthermore, since evidence suggests that short-term quality of life benefits are statistically similar, researchers suggest that patients may wish to undergo open colectomy until ongoing trials establish that laparoscopic-assisted colectomy is as effective in the treatment of colon cancer. patient.cancerconsultants.com /colon_cancer_news.aspx?id=17439   (651 words)

IngentaConnect Timing of restorative proctectomy following subtotal colectomy in...   (Site not responding. Last check: 2007-10-10) The aim of this study was to determine the impact of timing of RPC in patients who have undergone subtotal colectomy and end ileostomy for inflammatory bowel disease (IBD). Restorative proctocolectomy performed within 3 months after the initial subtotal colectomy was associated with a significant increase in the incidence of intra-operative complications. Although this increase was not statistically significant, there was a significantly higher incidence of fistula formation when RPC was undertaken at up to 7 months after the subtotal colectomy for IBD. www.ingentaconnect.com /content/bsc/cdi/2006/00000008/00000004/art00006   (359 words)

HISTORY OF LAPAROSCOPIC COLECTOMY Consequently, the first laparoscopic colon resections were "laparoscopically-assisted" colectomies, i.e., mini-laparotomies were utilized for ligation of mesenteric vasculature, extracorporeal anastomoses, and specimen removal. Laparoscopic colectomy is significantly more complicated than laparoscopic cholecystectomy and has a very steep learning curve. Nonetheless, laparoscopic colectomy is currently in its infancy, and will inevitably undergo many evolutionary stages. www.lapsurgery.com /history.htm   (5330 words)

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