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Overview
Hemicolectomy is a surgical procedure involving the removal of a portion of the colon (either the right or left side). The remaining sections are reconnected with minimal impact on digestion. This surgery is commonly performed to treat conditions such as colon cancer, Crohn’s disease, diverticulitis, and ulcerative colitis.
Hemicolectomy can be performed through open surgery or minimally invasive techniques, such as laparoscopic, hand-assisted laparoscopic, single-incision laparoscopic, or robot-assisted surgery. The procedure typically involves making small incisions for laparoscopic surgery or a larger incision for open surgery. The surgeon removes the damaged portion of the colon and may also remove surrounding tissues or organs if necessary.
Prior to surgery, patients undergo diagnostic tests like ECGs and blood tests to ensure suitability for the procedure. Certain medications, such as blood thinners, may need to be discontinued as per the doctor’s advice. Patients are also required to fast for 6–8 hours before surgery, and bowel preparation with a laxative may be necessary.
Post-surgery recovery time varies depending on the type of surgery. Generally, laparoscopic procedures allow for quicker recovery, while open surgery may take 1–2 months. Hospital stays typically last 7–10 days. Patients may have a bladder catheter and abdominal drains to manage fluid drainage. Pain management is provided via epidural medication initially, followed by oral pain relievers. Most patients are advised to avoid heavy lifting for about six weeks.
Regular follow-up appointments are necessary to monitor recovery and manage any complications. Some patients may experience minor digestive changes, such as cramps or diarrhea, which can often be managed with dietary adjustments and hydration.