Left hemicolectomy for colon cancer
A left hemicolectomy is a common surgery for colorectal cancer.
![female doctor in blue gown](/sites/default/files/styles/fifty_fifty/public/media/images/female_doctor_blue_gown.jpg.webp?itok=EeMsAPEr)
What is a left hemicolectomy?
This surgery removes a portion of the transverse colon, the descending colon, and the sigmoid colon, and then connects the transverse colon to the rectum. Some lymph nodes and surrounding tissue are also removed.
![medical supplies on white table](/sites/default/files/styles/fifty_fifty/public/media/images/medical_supplies_on_white_table.jpeg.webp?itok=I0jxbbqV)
Left hemicolectomy methods
Your surgeon may perform your hemicolectomy as an open surgery, laparoscopic surgery, or robotic-assisted surgery.
The technique will depend on:
- your overall health
- tumor size
- the surgeon's experience and preference
![man with ostomy bag](/sites/default/files/styles/fifty_fifty/public/media/images/man_with_ostomy_bag.jpeg.webp?itok=cLMX5saV)
Will I need a colostomy bag?
It's important to talk to your surgeon about your specific case and whether you will need a colostomy.
Some left hemicolectomy surgeries do not require a stoma if the surgeon is able to connect the two ends of the colon together. The part of the colon that is joined is called an anastomosis.
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Recovery
After left hemicolectomy surgery:
- You will have some pain that can be controlled with medication.
- For a few days, you may be on a liquid diet to let your colon heal.
- Bowel function usually returns within three days after surgery.
- Your doctor will determine when you can return to work, driving, and other activities.
![blue surgical mask](/sites/default/files/styles/fifty_fifty/public/media/images/blue_surgical_mask.jpg.webp?itok=oDs-2D77)
Risks and possible complications
Risks of any surgery depend on several factors, including your overall health and the extent of the surgery.
Problems are rare but can include:
- infection
- bleeding
- blood clots in the legs (DVT)
- leak at the anastomosis
- scar tissue in the abdominal cavity (adhesions)
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