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Additional recommended knowledge
Some of the most common indications for colectomy are:
Traditionally, colectomy is performed via an abdominal incision (laparotomy), though minimally invasive colectomy, by means of laparoscopy, is growing both in scope of indications and popularity, and is a well-established procedure as of 2006 in many medical centers.
Resection of any part of the colon entails mobilization and ligation of the corresponding blood vessels. Lymphadenectomy is usually performed through excision of the fatty tissue adjacent to these vessels (mesocolon), in operations for colon cancer.
When the resection is complete, the surgeon has the option of immediately restoring the bowel, by stitching together both the cut ends (primary anastomosis), or creating a colostomy. Several factors are taken into account, including:
An anastomosis carries the risk of dehiscence (breakdown of the stitches), which can lead to contamination of the peritoneal cavity, peritonitis, sepsis and death. Colostomy is always safer, but places a societal, psychological and physical burden on the patient. The choice is by no means an easy one and is rife with controversy, being a frequent topic of heated debate among surgeons all over the world.
Operative details and information for patients for colectomy
Operative details of the above operation can be seen in the surgical scripts presented in Wikisurgery/General Surgery.
Information for patients is also presented in Wikisurgery/General Surgery
|This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Colectomy". A list of authors is available in Wikipedia.|