Sigmoid colectomy for colorectal cancer
In this procedure, the surgeon removes the diseased portion of the rectum and the sigmoid colon. Some lymph nodes and surrounding tissue are also removed.
![doctor holding scope in surgery](/sites/default/files/styles/fifty_fifty/public/media/images/doctor_holding_scope_in_surgery.jpeg.webp?itok=l4c8NlcF)
Sigmoid colectomy methods
Your surgeon may perform your colectomy 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
![woman in green with ostomy](/sites/default/files/styles/fifty_fifty/public/media/images/woman_in_green_with_ostomy.jpeg.webp?itok=4upuUhy1)
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 sigmoid colectomy 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.
![male patient resting in bed](/sites/default/files/styles/fifty_fifty/public/media/images/male_patient_resting.jpeg.webp?itok=mOt8Xny4)
Recovery
After sigmoid colectomy 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.
- You may have a longer hospital stay if a your surgeon created a temporary or permanent ostomy.
- Your doctor will determine when you can return to work, driving, and other activities.
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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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