A Comprehensive Surgical Perspective on Total Laparoscopic Colectomy

A Comprehensive Surgical Perspective on Total Laparoscopic Colectomy

Table of Content

• Overview of Total Laparoscopic Colectomy
• What to Expect During Total Laparoscopic Colectomy Treatment?
• The 3 Stages of Laparoscopic Total Colectomy
  • Step 1: Placement of the Laparoscope
  • Step 2: Separating the Sigmoid Colon and Rectum
  • Step 3: Final stage of the Surgery

Overview of Total Laparoscopic Colectomy

A Total Laparoscopic Colectomy is an operation that entails the removal of  the large intestine. Surgeons use it to treat situations including:

• Inflammatory problems of the intestine, such as ulcerative colitis and Crohn’s disease.
• Familial polyposis, a genetic ailment in which hundreds to thousands of polyps (small growths) form sideways all over the large intestine

What to Expect During Total Laparoscopic Colectomy Treatment?

The 3 Stages of Laparoscopic Total Colectomy

Step 1: Placement of the Laparoscope

First, the patient will get general anaesthesia so that she/he will be unconscious during the operation. Then the doctor will make a minor cut (about half an inch long) near the navel and install a laparoscope through it. The doctor can see pictures from the laparoscope on video screens placed near the operational table.

Once the laparoscope device is in place, the specialist will make four or five additional cuts less than half an inch of length in the abdomen. The surgeon will perform the operation through those cuts.

Step 2: Separating the Sigmoid Colon and Rectum

The colon is a hefty organ (about 5 feet long) extending from the small intestine (ileum) to the rectum. Surgeons divide the colon into four chief sections:

• Ascending (right)
• Descending (left)
• Transverse
• Sigmoid colon, which joints to the rectum

Your doctor will carefully free the colon in segments, starting with the rectum and sigmoid colon, and concluding with the ascending (right) colon. The surgeon will cut and close the core blood vessels that stream blood to the colon all over the surgery.

During the Total Laparoscopic Colectomy process, the specialist will use a paddle-like tool to grasp loops of the intestine up and out of the way. When the complete large intestine is freed, the doctor will free the right colon from the small intestine (ileum). Then they’ll identify the part of the ileum that they will connect with the rectum.

Finally, your doctor will ensure that all of the attachments to the tissue have been detached. Once this is done, they will make a cut in the lower abdomen and pull the colon out of the abdominal crack.

Also Read:-  Colon Cancer: Symptoms, Precautions and Cure

Step 3: Final stage of the Surgery

To complete the Total Laparoscopic Colectomy operation, the specialist will then do one of two things:

• Form a hole termed a stoma in the  patient’s lower abdomen and join it to either their small intestine (ileostomy) or colon (colostomy). This permits waste to leave their body by the stoma and into a bag. This may be provisional or permanent.
• Join the patient’s rectum and ileum with staples or stitches. In some circumstances, the doctor makes a reservoir termed an ileal pouch-anal anastomosis (IPAA) through the small intestine. In either circumstance, an individual should be able to discharge their waste in a relatively usual way.

The specialist will then rinse the abdominal cavity and monitor the connection for leaks. Lastly, they’ll stitch or tape all the operating cuts in the abdomen.