Laparoscopic vs. Traditional Surgery: Which is Better for Colon Resection? - Surgery

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Laparoscopic surgery or traditional surgery?


Dear Doctor: My physician has advised me to undergo a colectomy because I have had three colonoscopies to remove polyps, and they keep recurring.
However, this hospital does not perform laparoscopic surgery, only traditional open surgery, and I am very concerned about the large incision associated with open surgery.
If I go to a hospital that offers laparoscopic surgery, will I need to undergo all the preliminary tests again? (The bowel preparation for the colonoscopy was quite uncomfortable.) Ultimately, is laparoscopic surgery better than traditional surgery?

Qi Hua Yao Cao, 40~49 year old female. Ask Date: 2010/11/30

Dr. Hou Yongji reply Surgery


Surgery is a matter that requires careful consideration.
If your surgery is performed without any prior examinations or assessments, can you feel at ease? Therefore, if you switch to another hospital, it is the responsibility of a good physician to conduct further evaluations unless you are seeing the same doctor.
The quality of laparoscopic surgery is not merely a matter of words; it must take into account the patient's condition, the qualifications of the surgeon, and the type of surgery being performed.
Conclusions cannot be drawn solely based on your description.
Please discuss this further with your physician.
Thank you.

Reply Date: 2010/11/30

More Info


When considering the choice between laparoscopic and traditional open surgery for colon resection, there are several factors to take into account, especially in your case where you have a history of recurrent polyps and are facing the prospect of surgery after multiple colonoscopies.

Laparoscopic Surgery vs. Traditional Open Surgery
Laparoscopic surgery, often referred to as minimally invasive surgery, involves making several small incisions in the abdomen through which instruments and a camera are inserted. This technique has several advantages over traditional open surgery, which requires a larger incision to access the abdominal cavity. Here are some key points to consider:
1. Recovery Time: Laparoscopic surgery typically results in a shorter recovery time. Patients often experience less postoperative pain and can return to normal activities more quickly than those who undergo open surgery. This is particularly important for individuals who may have concerns about prolonged recovery.

2. Scarring: The smaller incisions used in laparoscopic surgery usually result in less scarring compared to the larger incision required for open surgery. This can be a significant consideration for many patients.

3. Hospital Stay: Patients undergoing laparoscopic procedures often have shorter hospital stays. Many can go home the same day or the next day, while open surgery may require a longer hospital stay.

4. Complications: While both types of surgery carry risks, laparoscopic surgery may have a lower risk of certain complications, such as infections and hernias at the incision sites, due to the smaller incisions.

5. Surgeon’s Expertise: The success of laparoscopic surgery can depend significantly on the surgeon's experience and skill with this technique. It's essential to choose a surgeon who is well-versed in laparoscopic procedures, especially for complex cases like colon resection.

Considerations for Your Situation
Given your concerns about the size of the incision and the discomfort associated with traditional surgery, it is understandable that you would prefer laparoscopic surgery. However, you mentioned that the hospital you are currently considering does not offer this option. If you decide to seek out a facility that does perform laparoscopic surgery, it is likely that you will need to undergo some additional evaluations, including imaging studies or possibly another colonoscopy, to ensure that the new surgical team has all the necessary information about your condition.

While the thought of undergoing another colonoscopy may be daunting, it is crucial for the surgical team to have the most accurate and up-to-date information regarding your colon's health, especially given your history of polyps. This ensures that they can plan the surgery appropriately and minimize any potential risks.

Final Thoughts
In conclusion, laparoscopic surgery generally offers several advantages over traditional open surgery, particularly in terms of recovery time, scarring, and overall patient comfort. However, the decision should also consider the expertise of the surgical team and the specific circumstances of your case. It is advisable to have a thorough discussion with your healthcare provider about the potential benefits and risks of each surgical option, as well as the necessity of any additional evaluations if you choose to switch hospitals. Ultimately, the goal is to ensure that you receive the best possible care tailored to your individual needs.

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