Laparoscopic Left Colectomy
- Admission the day before surgery
- Bowel preparation required the day before
- Operating time 2 hours
- No nasogastric tube
- Drinks allowed the day after surgery
- Resump-tion of oral diet 2 days after surgery
- Length of hospital stay 5 days on average)
- This proce-dure is part of our Fast Track program (enhanced recovery after surgery [ERAS] protocol
Left-Sided Colon Cancer
The incidence of colon cancer is 20,000 new cases per year in France. In approximately 50% of cases, these tumours are localized in the left colon and sigmoid colon.
Predisposing factors are age > 50 years, obesity, active smoking, and personal history of colorectal, endometrial, ovarian, or breast cancer. First-degree family history of colorectal cancer doubles the risk of colon or rectal cancer.
Colonoscopy is the best test for diagnosing colon cancer and can be performed by your gastroenterologist. A colonoscopy screening is recommended from 50 years onwards, or even earlier for people at risk.
The first symptoms are :
- Unusual changes in your intestinal transit for more than 2 months
- Blood and/or mucus mixed with stool
Colon cancers have a good prognosis once they have been surgically treated, with a sur-vival rate of about 80% at 5 years.
For left-sided colon cancers, the surgery involves removing the entire left side of the co-lon with all surrounding lymph nodes under laparoscopy. In the majority of cases, provisional pouches are not necessary and the resumption of transit will occur normally a few days after the operation.
Depending on the results of the tumour microscopic examination, complementary che-motherapy may be suggested to reduce the risk of relapse.