Frequently Asked Questions
What is Colectomy?
Surgical removal of all or a part of the colon(large intestine) and attaching the small intestine to the rectum is known as Colectomy. Colon is a tube-like part known as the large intestine, at the end of the digestive tract. Colectomy is done to treat or prevent diseases affecting the colon(large intestine). Colectomy can be Open Surgery and/or Laparoscopic Surgery.
There are different types of Colectomy:
- Total Colectomy(Removal of whole colon)
- Partial Colectomy(Removal of a part of colon)
- Hemicolectomy(Removal of Left or Right portion)
- Proctocolectomy(Removal of Colon as well as Rectum)
What are the advantages of Colectomy?
- Helps in the prevention of Colon Cancer by removing the benign tumor.
- Stops symptoms such as bleeding or colon blockage.
- Treats severe inflammation or infection in case of Diverticulitis (infection in small pouches along the wall of the colon) or IBD (Inflammatory Bowel Disease).
- It can be done as preventive surgery for inherited genetic conditions which increases the risk of colon cancer.
What are the indications of Colectomy?
Few indications of Colectomy are as follows:
- Severe bleeding from colon
- A blocked colon may require immediate total or partial colectomy
- Colon Cancer
- Crohn’s Disease
- Inflammatory Bowel Disease
- Ulcerative Colitis
- Inherited genetic conditions like Adenomatous polyposis or Lynch Syndrome
What are the steps involved in Colectomy?
- Steps of Colectomy depends on the type of surgery opted for
- After the administration of general anesthesia, in Open Colectomy, the doctor will make a big incision on the wall of the abdomen to examine the colon.
- In Laparoscopic Surgery, 3-4 small incisions are made near the navel and surgical instruments will be placed in these holes.
- Then the surgeon will free the sections of colon, which are rectum, sigmoid colon, ascending and descending colon and transverse colon.
- The affected area is removed and then surgeon will rejoin the ileum (part of the small intestine) to the rectum. This new connection is called Ileorectal Anastomosis (IRA).
- After this, the colon is removed by the surgeon through a bigger incision.
- The operation is finished by checking IRA for any leaks through abdominal rinsing.
- The incision sites are then closed with stitches or glue.
Who are the best surgeons/doctors to perform Colectomy?
A certified and trained Gastroenterologist or a Colon and Rectal Surgeon or a General Surgeon who is well experienced in Colectomy can perform this surgery.
What is the cost of Colectomy?
Minimum cost for Colectomy in Delhi starts from Rs. 73,500
Average expenses for Colectomy in Delhi is approximately Rs. 99,750
Maximum amount to be paid for Colectomy in Delhi rises upto Rs. 1,68,000
Cost of Colectomy depends on factors such as:
- Admission fee
- Doctor fee
- Age of the patient
- Severity of the condition
- Post-surgical complications
- Type of Hospital
- The hospital room you opted for
- Any other lab tests or examination tests such as X-ray, ECG, etc
Is Colectomy a major surgery or minor surgery?
Colectomy is a major surgery as it involves removal of all or parts of the large intestine and attaches the small intestine to rectum.
What are the risks and complications associated with Colectomy?
- Infection at the site of Incision
- Injury to neighboring organs such as the bladder, small intestine or blood vessels
- Leakage where the intestines are attached
- Clotting of blood in the legs and lungs
- Internal Bleeding
How long does it take to complete Colectomy?
Colectomy takes up to 1-4 hours depending on the type of surgery opted for.
What is the recovery time for Colectomy?
Individuals who undergo Colectomy may take upto 3-7 days to recover completely.
What is the success rate of Colectomy?
The success rate of Colectomy depends on the following factors:
- Age of the patient
- The medical condition of the patient
- Experience of the surgeon/doctor
- Type of surgery or procedure performed
However, the success rate of Colectomy maybe 60-75%.
Is Colectomy Permanent?
Colectomy is a permanent procedure as it involves total or partial removal of the colon.
What are the long-term results of Colectomy?
There are less long term results of colectomy, however, few are listed below:
- Changes in urinary habits
- Fecal Incontinence
- Changes in food habits (intake of foods which are easy to digest)
- Colostomy(Stoma is the opening in the skin where pouch for collecting faeces is attached) does not seem to affect the quality of life.
Can Colectomy be detected in future?
Colectomy can be detected in the future due to the presence of scar tissues and the absence of a part or whole colon.
What are the options if Colectomy fails?
If Colectomy fails then the surgeon may recommend revision surgery.
What are the alternatives for Colectomy?
Alternatives of colectomy are:
- Medical Therapy
- Radiation Therapy
- Ileorectal and Ileoanal Anastomosis