Anterior Resection

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Anterior Resection

Understanding

What It Means?

Anterior resection surgery is a surgical procedure primarily used to remove cancerous tumors from the rectum. Depending on the location and size of the tumor, the surgery can be performed using different techniques: open surgery, lar surgery, laparoscopic surgery, or robotic surgery. The best rectal cancer doctor in Ahmedabad can help determine the most suitable approach for each patient.

About

Surgical Approaches

There are three main surgical approaches for performing a Anterior Resection:

Open Anterior Resection

  • The surgeon makes an incision in the abdomen to reach the rectum during the anterior resection surgery.
  • The diseased portion of the rectum and sometimes part of the sigmoid colon are removed.
  • The remaining ends of the bowel are then reconnected (anastomosis).
  • A temporary or permanent stoma may be created depending on the extent of the surgery.

Allows direct visualization of the organs.

Provides ample space for complex surgical maneuvers.

Generally used for larger or more complex tumors.

Larger incision, leading to more pain.

Longer recovery time.

Laparoscopic Anterior Resection

  • Small incisions are made in the abdomen for lar surgery.
  • A laparoscope (a long, thin tube with a camera) is inserted to provide a view of the internal organs.
  • Surgical instruments are inserted through the other incisions to remove the diseased portion of the rectum.
  • The bowel is reconnected, and the incisions are closed.

Less postoperative pain due to smaller incisions.

Faster recovery and shorter hospital stay.

Reduced risk of infections and hernias.

Better cosmetic outcomes.

Smaller, early-stage tumors to prevent low anterior syndrome.

Patients who prefer a minimally invasive approach.

Suitable anatomy and no significant previous abdominal surgeries.

Robotic Anterior Resection

Similar to laparoscopic surgery, small incisions are made, and a robotic system is used for lar surgery.

The surgeon controls the robotic arms from a console, which provides a magnified 3D view of the surgical area.

The robotic arms mimic the surgeon’s hand movements but with greater precision, allowing delicate procedures to be performed.

Enhanced precision and control, especially in tight spaces like the pelvis, reducing the risk of low anterior syndrome.

Improved visualization with a 3D magnified view.

Less postoperative pain and quicker recovery.

Reduced risk of complications.

Complex cases where precision is crucial, such as tumors near critical structures, often treated to prevent low anterior syndrome.

Patients who prefer the most advanced minimally invasive technique.

Surgeons with experience and access to robotic systems.

Dr. Jenit Gandhi in Surgery

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Your Frequently Asked Questions

Insights from the Best Surgical Gastroenterologist in Gujarat

Preparation includes a thorough evaluation, nutritional assessments, and bowel preparation. The surgical approach will be discussed in detail with the patient, considering factors such as the tumor’s size, location, and the patient’s overall health.

Risks include pain (which may vary depending on the surgical approach), potential bowel function disturbances, and the need for a temporary stoma. Complications such as infection, bleeding, and anastomotic leakage may also occur.

Yes, long-term risks may include issues with bowel function, such as anterior resection syndrome, and the potential need for a temporary stoma. Regular follow-up appointments are crucial to monitor recovery, detect complications, and ensure the success of the procedure.

The expected outcomes include improved health and quality of life, with bowel function gradually returning to normal. Recovery time may vary, but pain management and careful monitoring will aid in the process.

Recovery typically ranges from a few days to a few weeks, depending on the surgical approach (open, laparoscopic, or robotic) and the patient's individual condition. Minimally invasive techniques generally lead to quicker recovery.

The choice between open, laparoscopic, and robotic anterior resection depends on the patient's condition, tumor characteristics, the surgeon’s expertise, and available resources. A detailed discussion with the best rectal cancer doctor in Ahmedabad will help determine the most suitable approach.