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
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
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.
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.