Colon Cancer Surgery: Recovery, Staging, and Symptoms - Surgery

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Colorectal cancer


My father is 72 years old and has recently been diagnosed with a colon tumor through your examination.
We have scheduled a date for surgical removal, and I have a few questions to ask you:
1.
How large will the surgical incision be? How long will it take for recovery after the surgery?
2.
The colon tumor is approximately 3-4 cm; what stage of cancer does this correspond to, and what is the post-operative survival rate? Is it expressed as a percentage or in years?
3.
My husband has been drinking cola for a long time and has noticed that his stools are almost always loose (similar to diarrhea) and not like the normal cylindrical shape.
Is this condition abnormal? How should we address it? Thank you!

Angel, 30~39 year old female. Ask Date: 2006/11/21

Dr. Ke Fangxu reply Surgery


Hello: In response to your questions.
1.
The surgical wound is approximately 15-20 centimeters, and the recovery time is about 7-10 days post-operation.
2.
Generally, it is mostly stage II, but it can also be stage III; the five-year survival rate for stage II is around 80%, while for stage III it is only about 60%.
3.
Unformed stools are often due to insufficient fiber intake; if this persists even after increasing the consumption of fruits and vegetables, a colonoscopy is recommended.

Reply Date: 2006/11/21

More Info


Understanding colon cancer surgery, recovery, staging, and symptoms is crucial for both patients and their families. Your father's diagnosis of a colon tumor and the upcoming surgery can understandably raise many questions. Let's address your concerns one by one.

1. Surgical Incision Size and Recovery Time: The size of the surgical incision can vary depending on the type of surgery performed. If your father is undergoing a laparoscopic procedure, the incisions will be smaller, typically around 0.5 to 1 inch, and there may be several of them. In contrast, an open surgery may involve a larger incision, usually about 6 to 8 inches long. Recovery time also varies; laparoscopic surgeries generally allow for quicker recovery, often within 1 to 2 weeks, while open surgeries may require 4 to 6 weeks for a full recovery. During this time, it’s important for your father to follow post-operative care instructions, including managing pain, maintaining a balanced diet, and gradually increasing physical activity.

2. Staging of the Tumor: The stage of colon cancer is determined by several factors, including the size of the tumor, whether it has invaded nearby tissues, and whether it has spread to lymph nodes or distant organs. A tumor size of 3 to 4 cm could potentially fall into Stage II or III, depending on its depth of invasion and lymph node involvement. Stage II typically indicates that the cancer has penetrated the wall of the colon but has not spread to lymph nodes, while Stage III indicates that it has spread to nearby lymph nodes. The survival rates vary by stage; for Stage II, the 5-year survival rate is approximately 70-90%, while for Stage III, it can range from 40-70%. These statistics can provide a general outlook, but individual prognosis can vary based on overall health, response to treatment, and other factors.

3. Changes in Bowel Habits: Your observation regarding your father’s bowel movements being loose or resembling diarrhea is indeed concerning. Changes in bowel habits can be a sign of various conditions, including infections, inflammatory bowel disease, or even the presence of a tumor affecting bowel function. It’s essential to address this issue with his healthcare provider before surgery. They may recommend dietary adjustments, such as increasing fiber intake or reducing carbonated beverages like cola, which can contribute to gastrointestinal discomfort and changes in stool consistency. Additionally, they may want to investigate further to rule out any underlying issues that could complicate his condition.

In summary, it’s essential to maintain open communication with your father’s healthcare team. They can provide personalized information based on his specific diagnosis and health status. Encourage your father to ask questions during his appointments, and consider bringing a list of concerns to ensure all topics are covered. Post-surgery, following the medical team’s guidance on recovery and monitoring for any changes in symptoms will be crucial for his health and well-being.

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