What is a right colectomy?
Right colectomy refers to the resection of a portion of the distal ileum, cecum, ascending colon, and proximal to mid-transverse colon. Extended right hemicolectomy refers to extension of the distal resection margin to include the distal transverse colon up to the splenic flexure.
How long does it take to recover from robotic colon surgery?
Recovery from the robotic procedure generally takes 2–3 weeks compared to 4–6 weeks for traditional open surgery.
How do you mobilize your right colon?
Entire right colon mobilized up to hepatic flexure. Apply gentle traction to the transverse mesocolon to mobilize the proximal part of the transverse colon. Perform this maneuver with a gentle touch to avoid avulsing a branch of the middle colic vein from its origin.
What is right sigmoid colectomy?
What is a sigmoid colectomy? This operation involves removing the sigmoid colon, which lies on the left side of your abdominal cavity (tummy). We would then normally join the remaining left colon to the top of the rectum (the ‘storage’ organ of the bowel).
Is a colectomy painful?
The amount of pain you have after a colectomy will depend on your other health factors and how much of your colon was removed. After your surgery, you may have a patient- controlled anesthesia pump (PCA). You will have a button that you push when you start to feel it’s time for pain medicine.
Is colectomy a major surgery?
Colon resection (colectomy) is the surgical removal of part or the entire colon. Colectomy is a major surgery and may take up to four hours for completion. Colectomy is performed under general anesthesia and may require hospitalization for up to a week or more.
How long do you have to stay on a low fiber diet after colon surgery?
It is recommended that you follow a Low-Fiber diet for one month following surgery. After one month, reintroduce fibrous foods back into your diet, one at a time and GRADUALLY. Note: If a particular food makes you feel unwell, stop eating it and try it again 2 to 3 weeks later.
What is removed in a right colectomy?
A colectomy procedure to remove one side of the colon is called hemicolectomy. A right hemicolectomy, as shown here, involves removing the right side of the colon and attaching the small intestine to the remaining portion of the colon.
What is a Sigmoidectomy?
Sigmoidectomy is a surgical procedure that consists in the removal of a part or of the whole sigmoid colon (usually to eliminate a malignant tumor). The sigmoid colon is located right above the rectum and it is S-shaped.
When to use a dictation book in surgery?
The book thus serves two purposes: these operative dictation templates can be used verbatim when dictating the operative note for a procedure; and the book provides ready reference to the trainee going into the operating room to do the procedure for the first time, or to someone preparing for their Board examinations.
What are operative dictations in general and vascular surgery?
Operative Dictations in General and Vascular Surgery, Third Edition is intended for practicing surgeons, who may modify each template to reflect their own individual practice. It also serves as a concise reminder of essential steps in those operations that may be only rarely performed.
How is a colectomy done in the abdomen?
Traditional open surgery requires the surgeon to make an incision in your abdomen large enough to see the colon and perform the procedure using hand-held tools. There are two minimally invasive approaches for colectomy: laparoscopic or robotic-assisted surgery, possibly with da Vinci technology.
What is the dictation for a gastrectomy?
A detailed template operative dictation note is included. Partial gastrectomy with Billroth II reconstruction is performed for medically refractory peptic ulcer disease or after a failed Billroth I operation. This chapter lists the indications, essential steps, common technical variations, and complications of this procedure.