• Joel Bauer MD
  • Stephen Gorfine MD
  • David Chessin MD
  • Daniel Popowich MD

Laparoscopic Colon Resection for Cancer

Laparoscopic Colon Resection for Cancer

Treatment Options from Our Manhattan Colorectal Surgeons

Most cases of colon cancer are asymptomatic and diagnosed by screening colonoscopy. Symptoms are not specific to this disease and may include rectal bleeding, abdominal pain, colon obstruction, and weight loss.

The cause is unknown, but most cases arise from polyps of the lining of the colon. Once diagnosed, treatment includes surgical resection of the involved colon. In select patients, colon resection for cancer may be performed laparoscopically using small incisions and specially designed instruments.

The benefits of a laparoscopic colon resection may include decreased postoperative pain and improved cosmesis. Obtain more information when you call our Manhattan colorectal surgeons at 646.798.4606.

Diagnosis & Treatment

Colon cancer is diagnosed using a combination of:

  • Patient history
  • Physical examination
  • Endoscopy
  • Radiology
  • Pathology

Colonoscopy is important in patients with a history of colon cancer for surveillance of the colon for development of tumor recurrence. Radiology tests that may be ordered include plain X-ray and CT scan of the chest, abdomen, and pelvis. These studies are often utilized in the evaluation for evidence of metastatic disease.

The treatment of colon cancer varies based upon whether there is spread beyond the primary site in the colon:

  • If there is no spread, treatment is often removal of the involved colon to evaluate the tumor under a microscope
  • In selected patients with limited spread in the liver or lungs, removal of the involved colon along with the tumor in the liver or lungs may be feasible
  • If there is tumor spread beyond the primary tumor and it is not amenable to removal, surgery may not be recommended. In this situation, chemotherapy is often administered

In selected patients, laparoscopic colon resection may result in decreased pain, a shorter hospital stay, and improved cosmesis. It is performed in the hospital and you will be admitted following the procedure.

Preparation

The night prior to the procedure, you will be instructed to not eat or drink after midnight. In addition, you will be prescribed a bowel preparation. The preparation should be taken as instructed. General anesthesia will be administered prior to surgery.

Operation & Postoperative Care

Small incisions will be made in your abdomen. Using the laparoscope. Using specially designed laparoscopic instruments, the segment of colon with the cancer will be removed, and the two ends reconnected. Rarely, a diverting stoma will be performed. Often a stoma is performed to maximize the safety of the operation for you.

Following a colon resection, you will be admitted to the hospital. You will receive pain medication and intravenous fluid. Once bowel function returns and you can tolerate a diet, you will be discharged from the hospital. You will be given a prescription for pain medication.

Before your follow-up appointment, if you have questions or concerns you should call your surgeon or contact Manhattan Surgical Associates online.

Contact Us

We look forward to seeing you! Fill out the following form or call (646) 798-4606 and a helpful member of our team can return your inquiry shortly.

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