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Laparoscopic Colon Surgery

Colon is the lower part of the intestine, also known as the large intestine.

Using a laparoscopic advanced minimally invasive approach, avoids the need for a large abdominal incision. Pain is significantly less. The length of hospital stay is 2-4 days and one can return to work as early as 2-3 weeks.


In laparoscopic colon resection surgery, the patient is given general anesthesia. About 3-6 small incisions are made in the abdomen. One is used for the laparoscope which is attached to a camera thatLaparoscopic Colon Surgery sends images to a video monitor. The other incisions are used to insert instruments to hold or manipulate tissue in the abdomen. Carbon dioxide gas is inflated into the abdominal cavity to allow room to work and allow the surgeon to see. The diseased portion of the colon is identified and carefully dissected and removed. In some cases one of the incisions may be lengthened. At the end of the surgery, carbon dioxide gas is removed and incisions are closed with necessary sutures.

Tests done prior to surgery may include

  • Colonoscopy or barium enema tests to enable the physician to look inside the colon (large intestine)
  • CT scan of the abdomen
  • Blood tests, electrocardiogram (EKG) or chest x-ray

Advantages of Laparoscopic Colon Resection Surgery towards Large Abdominal Surgery?

  • Decreased post operative pain
  • Reduced hospital stay
  • Earlier return to solid-food diet
  • A more rapid return to bowel function
  • Earlier mobility and resuming of activities
  • Minimally sized incisions with a better cosmetic result

As with any surgery there are risks. The risk of one of these complications is usually no greater than if the surgery were done with the open technique. Complications that can occur are as in any case of surgery are:

  • Bleeding
  • Infection involving the wound, blood or abdomen
  • Injury to surrounding organs such as small intestine, ureter or bladder
  • A possible leak where the colon was joined together
  • Blood clots to the lungs

Sometimes it is not possible for the surgeon to use the laparoscopic technique because it may be difficult to see or handle organs safely. The surgeon decides to perform an open procedure either before or during the surgery. The surgeon may decide to convert the laparoscopic surgery to an open procedure in certain situations and for patient safety. Though very infrequent, when conversion to an open technique occurs, it should not be considered a failure of the procedure. Factors that might increase the possibility of changing to an "open" procedure are obesity, previous abdominal surgery causing dense scar tissue, inability to see organs or bleeding during surgery.

Post operation, one may engage in light activity at home. If mild post operative pain is experienced pain medication can be undertaken as advised. The physician would suggest with liquid diets followed by gradually taking solid foods. Resume normal activities such as showering, stair climbing, working, lifting, driving and having sexual intercourse after discussing with your physician.


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