This is an automatically translated article.
The article is professionally consulted by Master, Doctor Nguyen Ngoc Thang - Gastroenterologist - General Surgery Department - Vinmec Danang International General Hospital.Compared with the classic open surgery, laparoscopic surgery has many outstanding advantages in the treatment of colon resection. However, not all patients can apply this technique.
1. What is laparoscopic colonectomy?
Laparoscopic colectomy is a minimally invasive technique that allows the doctor to remove part of the colon containing the tumor through small incisions of 0.5 - 1 cm. The endoscope is attached to a camera that transmits magnified images on a screen, instruments are inserted and through other ports to perform surgery. Depending on the pathology, the doctor can perform gastrointestinal re-establishment with an intestinal anastomosis or an ostomy (bringing the intestines out of the abdominal wall).2. When is laparoscopic colonectomy indicated?
Colon tumor. Some other cases: ileocecal tuberculosis, cancerous polyps, complicated colonic diverticulum, necrotic intussusception, mesenteric tumor.
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3. Contraindications
The tumor is too large, the cancer has metastasized far, into the adjacent organs, especially the duodenum, the peritoneum, which cannot be resected. Patients who are elderly and weak or have severe co-morbidities that cannot perform laparoscopic surgery (eg, heart failure, respiratory failure).4. Advantages and disadvantages of the method
4.1 Advantages Surgical resection of melanoma is an extremely important step in the effective treatment of colorectal cancer. Compared with the classic open surgery, laparoscopic surgery has many outstanding advantages:Not limited to the surgical field like traditional surgery, optimal image quality with higher accuracy Less pain after surgery Function Quick recovery of colon function Small surgical scars. Helps reduce the risk of wound infection. Ensure patient aesthetics Quick recovery after surgery, short hospital stay Quickly return to normal activities 4.2 Disadvantages Cases of large tumors that have invaded neighboring organs, laparoscopic surgery can Tumor dissection may be more difficult to perform than with traditional open surgery.
So với phẫu thuật mổ mở kinh điển, phẫu thuật nội soi có nhiều ưu điểm vượt trội
5. Notes for patients when performing this technique
Patients need to eat soft, almost liquid foods that can be digested quickly and easily in the days leading up to surgery. All patients were only allowed to drink water for 24 hours before surgery and completely fast from midnight before the day of surgery. After surgery, patients need to be fed intravenously until they can eat and drink normally. Most patients can eat a light meal 4-5 days after surgery. Usually, patients can return to normal activities within 1-3 weeks after surgery, but it takes longer to fully recover. Therefore, patients should avoid exertion, heavy lifting for 4-6 weeks. At the Department of Gastroenterology of Vinmec Hai Phong International General Hospital, laparoscopic colectomy 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. Besides, a well-trained professional team is always the strength of personnel 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.
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