Colectomy

UNORGANIZED NOTES

*Page is FAR from complete! These are general unorganized thoughts/notes that need to be refined (when Mr. Stepwards is less busy!)

WHAT IS IT?

Colectomy refers to the surgical removal of any part of the colon. Can be done in conditions like diverticulitis, FAP (specific types of colectomy elaborated below)

Proctocolectomy is the surgical removal of the rectum and all or part of the colon. Can be done for conditions like ulcerative colitis.

Right hemicolectomy refers to the surgical removal of the the cecum, the ascending colon, the hepatic flexure (where the ascending colon joins the transverse colon). Can be done with tumors in the cecum or right colon, carcinoids.

WHEN DO WE DO IT? 

Appendicial carcinoid greater then 2 cm is an indication for a right hemicolectomy.

LAPAROSCOPIC LEFT HEMICOLECTOMY

Port Placement: 4 ports can be placed in the orientation shown below.

Port placement for a laparoscopic left hemicolectomy (source)
Port placement for a laparoscopic left hemicolectomy (source)

 

LEFT HEMICOLECTOMY

 

 

Page Updated: 06.11.2016