Right Hemi-Colectomy

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Right Hemi Colectomy
Understanding

What It Means?

Right hemi-colectomy is a surgical procedure where the right portion of the colon (including the cecum, ascending colon, and part of the transverse colon) is removed. It is commonly performed to treat colon cancer, Crohn’s disease, diverticulitis, and large polyps. The procedure is carefully planned for the best possible outcome, particularly when performed by experienced surgeons in Ahmedabad, known for their expertise in colon cancer treatment.

About

What are Indications?

These indications outline when surgical intervention is necessary for each condition, based on the severity and complications of the disease.

Colon Cancer

Colon Cancer

A type of cancer that begins in the colon or rectum, often from pre-existing polyps. It can cause symptoms like changes in bowel habits, blood in stool, and abdominal discomfort.

Crohn’s Disease

Crohn’s Disease

A chronic inflammatory condition affecting the digestive tract, commonly the small intestine and colon. It leads to symptoms such as abdominal pain, diarrhea, and fatigue.

Diverticulitis

Diverticulitis

An infection or inflammation of the diverticula (small pouches) in the colon, causing pain, fever, and changes in bowel movements.

Benign Polyps

Benign Polyps

Non-cancerous growths that develop in the colon. While usually harmless, they can turn cancerous over time, so they are often removed during screenings.

Intestinal Obstruction

Intestinal Obstruction

A blockage in the intestine that prevents food and waste from moving through. It causes symptoms like severe abdominal pain, vomiting, and constipation.

Our Philosophy: Care with Precision

Surgical Preparation

Preparation Steps Before Right Hemicolectomy for Optimal Outcome:

  • Patient evaluation and staging (for cancer patients) before lap right hemicolectomy
  • Nutritional assessment for right hemicolectomy in Gujarat
  • Bowel preparation
  • Preoperative antibiotics
  • Discussion of surgical approach options with the patient, including extended right hemicolectomy
Professional Doctors
Caring Staff

Surgical Approaches

There are three main surgical approaches for performing a right hemicolectomy:

Open Right Hemi-Colectomy

  • Incision: A midline or right paramedian incision is made to access the abdominal cavity for right hemicolectomy surgery.
  • Mobilization: The right colon is mobilized by dissecting the lateral peritoneal attachments in a hemicolectomy operation.
  • Vascular Control: The ileocolic, right colic, and right branches of the middle colic vessels are identified, ligated, and divided.
  • Resection: The affected segment of the colon is resected, especially in cases of right hemicolectomy in Ahmedabad.
  • Anastomosis: The ileum is anastomosed to the transverse colon, either in a hand-sewn or stapled fashion.
  • Closure: The abdominal cavity is inspected, hemostasis is achieved, and the incision is closed.
  • Direct visualization for complex cases.
  • Easier in cases with extensive adhesions.

Laparoscopic Right Hemi-Colectomy

  • Port Placement: Small incisions for camera and tools.
  • Insufflation: Abdomen inflated with CO2.
  • Resection & Extraction: Performed through small incisions.
  • Anastomosis: Intracorporeal or extracorporeal techniques.
  • Minimally invasive, smaller incisions.
  • Shorter hospital stay and quicker recovery.

Robotic-Assisted Right Hemi-Colectomy

  • Robotic Docking & 3D Visualization: Enhanced control for precision.
  • Mobilization & Anastomosis: Performed with robotic arms.
  • Superior precision and control.
  • Ideal for complex cases.
Dr. Jenit Gandhi in Surgery

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Your Frequently Asked Questions

Insights from the Best Surgical Gastroenterologist in Gujarat, India

When undergoing the Best Colon Cancer Treatment in Gujarat, India, preparation includes a thorough medical evaluation, proper nutrition planning, bowel cleansing, and preoperative antibiotics if needed. A clear discussion about the surgery will be held with your doctor.

Common risks include infection, bleeding, anastomotic leak, and ileus. Procedure-specific risks such as incisional hernia (open surgery) or port-site hernia (laparoscopic/robotic) may also occur. These risks are minimized with proper surgical techniques and post-operative care.

Yes, long-term monitoring is important to ensure disease control (for Crohn’s disease) or to monitor for cancer recurrence. Follow-up appointments will be necessary to discuss pathology results and ongoing care.

Under the Best Colon Cancer Treatment in Gujarat, India, patients usually experience excellent results. When done by skilled surgeons, laparoscopic and robotic methods lead to faster recovery and shorter hospital stays, with equal oncological success across all approaches.

Recovery time varies depending on the approach. Laparoscopic and robotic-assisted surgeries usually offer faster recovery, with many patients returning to normal activities in a few weeks. Open surgery may involve a longer recovery period.