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Laparoscopic Colorectal Surgery

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ECU Surgeons are proud to offer Laparoscopic surgery (surgery through small incisions with the help of special instruments and cameras) for many colorectal disorders. Laparoscopic surgery offers lower rates of wound complications with benefits of less pain and shorter postoperative length of stay.

Laparoscopic Ileocecectomy            
For patients with Crohn's Disease or other conditions, the end of the small intestine (ileum) and the first portion of the colon (cecum) can be removed to excise a diseased segment. This can often be performed laparoscopically with several small incisions.  

Laparoscopic Right Colectomy            
This procedure may be done for a cancer or tumors of the first portion of the colon or for some diseases of the appendix. The small intestine is reconnected to the colon after a segment has been excised.

Laparoscopic Left Colectomy            
This may be performed for cancer or tumors of the colon or for diverticulitis. A segment of the colon is removed and the ends reconnected.

Laparoscopic Sigmoid Colectomy            
The sigmoid colon is most frequently involved in diverticulitis. Removal of this portion of the colon involves reconnection of the colon to the rectum. The sigmoid may also be removed for cancer or tumors.

Laparoscopic Proctectomy ("Laparoscopic Low Anterior Resection")            
Removal of some or all of the rectum using Laparoscopic approach is now offered to many patients with rectal cancer or tumors.  At times, these procedures require a temporary diverting "protective" ileostomy to allow for healing of these low connections without stool moving through this area.

Laparoscopic Total Proctocolectomy            
For some patients with Ulcerative colitis, the entire colon and rectum may be removed laparoscopically. Following removal, creation of a pouch using the small intestine may allow one to avoid a permanent end ileostomy.

Laparoscopic Colostomy or Ileostomy            
There are situations when diversion of the fecal stream is required. During this procedure, a portion of the intestine is brought out to the skin level so that the stool can be diverted away from bowel downstream.

Laparoscopic Rectopexy            
Rectal prolapse is a condition where the rectum bulges out of the anal opening. Repair of rectal prolapse can be accomplished laparoscopically in many cases. The goal of ECU surgeons is to provide safe and effective treatment for each patient.

At times, it may be advantageous or safest to have a somewhat larger incision to have a particular procedure. In this case, each of the above operations may be accomplished with open techniques.


Other Procedures

Combined Laparoscopic/Endoscopic Resections            
For benign tumors, which may not be able to be removed with colonoscopy alone, at times surgeons may combine colonoscopy with Laparoscopic techniques to remove an advanced polyp or benign tumor.

Trans-anal Excision            
For benign tumors of the middle and lower rectum, excision using instruments through the anus may be offered. This avoids all scars on the skin and allows for a very fast recovery following surgery.


Recovery            
This depends on the type of surgery performed. Discharge may be on the day of surgery or up to a week after surgery depending on each patient's particular situation. With Laparoscopic techniques, discharge within 3 days of surgery is common even with major operations. Patients are expected to be out of bed and walking in the first day after surgery. This early mobility helps make early discharge possible.




East Carolina University | Department of Surgery
600 Moye Blvd. | Greenville, NC 27834 USA
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