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Doctor insights on: Hemicolectomy Complications

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After robotic right hemicolectomy how common is duodenal perforation and how soon should it be repaired to prevent complications and death?

After robotic right hemicolectomy how common is duodenal perforation and how soon should it be repaired to prevent complications and death?

Should be uncommon: Injury to the duodenum during right colectomy should be considered a technical complication and is a known but fortunately uncommon complications. Treatment depends on the timing of diagnosis, severity of sepsis and extent of injury. If recognized at the time of surgery, repair may be successful, but generally injury leads to infection and treatment involves drainage, antibiotics and nutrition ...Read more

Dr. Raj Kapur
747 doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...Read more


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What is hemicolectomy?

What is hemicolectomy?

Colon Resection: The literal definition would be "removal of half of the colon", either left or right. This typically refers to cancer operations in which the extent of resection corresponds with the blood supply & lymph node distribution of the colon. In actuality, we usually perform "segmental" resections, typically removing 1/3 to 1/4 of the colon. ...Read more

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What does post hemicolectomy mean?

What does post hemicolectomy mean?

Post Hemicolectomy: Post hemicolectomy basically describes the period of time after surgery to remove part of the colon. ...Read more

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What type of diet after hemicolectomy ?

What type of diet after hemicolectomy
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Balanced: Typically the first 2 weeks should be a low fat and low fiber diet with stool softeners. This reduces stretching on the new bowel connection. After this, a healthy balanced diet with fiber is recommended. There are studies that support using probiotics such as lactobacillus or acidophilus for improved function. Start probiotics after the first two weeks following surgery. ...Read more

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What should I do if I have to have a left hemicolectomy?

What should I do if I have to have a left hemicolectomy?

Find a good surgeon: Left colectomy is a routine procedure with a low rate of complication. It is increasingly done laparoscopically even for cancer. Check around, finding a good surgeon is your most important decision when faced with a necessary procedure. ...Read more

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How long does it take to recover after right hemicolectomy ?

Variable: However anticipate 3-4 days in the hospital and 6 weeks to unrestricted, unlimitted activy. This will vary with the indication for the surgery, your general health at the time of the surgery and any peri or postoperative complications that may have occurred. ...Read more

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When can I start the gym after a right hemicolectomy surgury?

My recommendation: Is not to do any heavy lifting or straining for 6 weeks post op, you can do walking or tread mill on a relatively flat incline anytime after surgery. Best to check with your surgeon for their preferences. ...Read more

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How long after a right hemicolectomy do I have to wait to fly?

How long after a right hemicolectomy do I have to wait to fly?

Wait: Until released for travel by your surgeon. May depend if you had open or laparoscopic surgery. May want to wait about 2 weeks, & also see the surgeon for a check up before traveling. ...Read more

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Is it common to have a temperature after a right hemicolectomy?

Depends: What you mean by temperature and how soon after surgery. Temps less than 101f are usually not too concerning in first days after surgery. Speak with your surgeon. ...Read more

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How long do I have to wait after a hemicolectomy before I can begin walking?

The next day: I get my patient out of bed either on the night of surgery or the next day and get them walking several times per day. From that point on you can increase your walking as desired so long as keep yourself well hydrated and minimize steep inclines or steps. ...Read more

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Can someone tell me the difference in a partial cecectomy and a right hemicolectomy?

Can someone tell me the difference in a partial cecectomy and a right hemicolectomy?

Yes: Cecectomy just removes the very "tip" of the start of the colon. Right hemicolectomy removes the entire right side of the colon. Often done for a large polyp or cancer. ...Read more

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Please tell me how long it takes for to recover from the operation - right hemicolectomy ?

Depends on: A lot of factors. Whether the operation is done via laparoscopy or open, whether there are any associated local problems, whether there are any co-existing medical problems, the person's age, general health status. In general, the hospitalization is about one week, time spent in home recovery is several weeks. ...Read more

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Following a hemicolectomy, how long does it take before my patient can resume eating and taking fluids?

Following a hemicolectomy, how long does it take before my patient can resume eating and taking fluids?

"Days": Following laparoscopic hemicolectomy, most people begin solid foods in 2-3 days; following "open" surgery, 4-6 days. Either way, it may take weeks for one's digestive tract to get back to normal. ...Read more

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Can you tell me in what ways can a hemicolectomy affect the renal system or any other physiological systems?

Nothing long term: While during the perioperative period there could be a variety of systems temorarily affected, there shouldn't be any long term affects of removeing a segment of colon. Check with your surgeon to be sure about your specific case. ...Read more

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How do I best prepare for a right hemicolectomy? Are pre-operative nutrition drinks and antibacterial showers recommended ?

How do I best prepare for a right hemicolectomy? Are pre-operative nutrition drinks and antibacterial showers recommended ?

Follow MD 's advice: Each surgeon had individual preference to prepare the bowel ,during preoperative time. Do not break the preparation protocol . Poorly prepared colon will result higher complication rate , like post OP infection etc. Speak to your surgeon. ...Read more

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Is it normal to have diarrhea after hemicolectomy?

Is it normal to have diarrhea after hemicolectomy?

Adjustment: Diarrhea after hemicolectomy can occur. Remember the main function of the colon is to absorb water. When you remove a segment of the colon then the transit time changes. Keep a record of food that causes diarrhea. An adjustment time will let you find food to help. ...Read more

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Can any docs elaborate on the difference in a partial cecectomy and a right hemicolectomy?

Yes: Cecum is the beginning of the right colon. Cecum, ascending is on right, then transverse, descending is left colon, then rectum. Hemi is about half. Ectomy is removal of something. So more colon removed than just a part of cecum! Why ? Not a very common operation? ...Read more

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Docs! Please tell me if there is a difference in a partial cecectomy and a right hemicolectomy?

Different procedures: The terminal small bowel (ileum) enters into the rt. lower colon or cecum where the appendix is attached. If there is a small polypoid lesion of cecum or appendicitis one can resect a portion of the cecum and anastomose termnal ileum to rt. colon. In the case of cancer of the cecum, in order to remove draining nodes, the rt. colic vessesl are removed with nodes and a rt. hemicolectomy is done. ...Read more