What happens during the procedure?
A bowel resection is performed using general anesthetic, so you will not be awake during the procedure. It is can be done either through an opening made in the abdomen or as a laparoscopic procedure. With laparoscopy, several small openings are made and the surgeon uses a viewing device to see inside the abdomen and operates using smaller tools. In both open and laparoscopic bowel resections, the surgeon removes the tumor (or damaged tissue) and five centimeters of colon next to it. The surgeon then reattaches the two healthy ends. If the surgery is being performed for colorectal cancer, nearby lymph nodes are also removed to be tested for cancer.
How should I prepare for this procedure?
The preparation for a bowel resection involves the standard preparation for any surgery. Do not eat for 8 hours before the procedure. You may continue to drink clear liquids until 2 hours before the procedure. If your doctor has recommended different times, follow the timing recommended by your doctor.
You will be instructed to take a strong laxative, medication to clear the bowel, usually the day before the surgery.
Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any medication allergies and medical conditions that you may have.
Ask your doctor or pharmacist whether you need to stop taking any of your medications before the procedure.
What can I expect after the procedure?
After surgery, you will wake up in the recovery room. You will likely feel groggy, sore, and possibly nauseated. Any severe pain can be controlled with painkillers (delivered intravenously).
A bowel resection usually involves a hospital stay which may range from five days to two weeks. If you have colorectal cancer, you may also require radiation therapy and chemotherapy.
Arrange for someone to drive you home from the hospital.
Results
Most people who undergo a bowel resection fully recover from surgery. A bowel resection is the only way to potentially cure colorectal cancer. The earlier the cancer is found, the better the chance are of curing it. Keep in mind that because colorectal cancer can return, follow-up screening is important.