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Colon Cancer (Colorectal Cancer)

Bowel Resection for Colorectal Cancer

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Bowel Resection for Colorectal Cancer

Surgery Overview

Resection is another name for any operation that removes tissue or part of an organ. Bowel resection, also called partial colectomy, for colorectal cancer removes the tumor and part of the colon or rectum on either side.

The goal of bowel resection is to take out the part of the colon or rectum where the cancer is. Nearby lymph nodes are taken out and tested for cancer. Then healthy parts of the colon or rectum are sewn back together. Bowel resection is done either by opening the abdomen (open resection), or by laparoscopy.

View the slideshow on bowel resectionClick here to see an illustration. to see what happens during this surgery.

What To Expect After Surgery

Bowel resection requires general anesthesia. You may stay in the hospital for 4 to 7 days or as long as 2 weeks after surgery.

Sometimes the two parts of the colon or rectum cannot be reattached, so the surgeon performs a colostomy. This creates an opening, called a stoma, on the outside of the body for the stool, or feces, to pass through into a colostomy bag. Usually the colostomy is temporary, until the colon or rectum heals. If the lower part of the rectum has been removed, the colostomy is permanent. Most people who have colon cancer don't need a colostomy.

Treatment after bowel resection may include radiation therapy and chemotherapy, in case there are any cancer cells remaining. Radiation therapy uses X-rays to kill cancer cells. Chemotherapy uses drugs—given either as pills or through a needle—to kill them.

Follow-up care is important because colorectal cancer can come back after surgery, especially if it was not discovered when it is in an early stage.

Why It Is Done

In early-stage cancer, surgery is done to remove as much cancer as possible to give the greatest chance of a cure.

In cases of advanced colorectal cancer that has spread (metastasized) to other parts of the body, bowel resection is often done to remove tumors that are blocking the intestine or causing bleeding.

How Well It Works

When colorectal cancer is caught before it has grown into the tissue and muscle layers of the colon or rectum, surgery (bowel resection) cures the disease in about half of the people.1 When the cancer has spread to those tissues, surgery is less likely to result in a cure.

Bowel resection is the most successful treatment for colorectal cancer. Even if the cancer has spread to other parts of the body, bowel resection frequently relieves symptoms caused by blockage.2

By: Healthwise Staff
Medical Review: Kathleen Romito, MD - Family Medicine
Arvydas D. Vanagunas, MD - Gastroenterology
Last Revised: September 30, 2010

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This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
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