This is an operation to remove the right side of the colon or part of it (right hemicolectomy) , and part of the end of the small bowel. It is commonly performed for bowel cancer, large polyps that cannot be removed at colonoscopy, or Crohn’s disease.
It can be performed “open” with an incision in the abdominal wall or laparoscopically, commonly called “key hole surgery”.
After the end of the small bowel and the resected part of the right colon are removed, along with their blood supply, the two ends of bowel are joined together (anastomosed) with stitches or stapling devices.
It is uncommon to require a bag or stoma in association with a right hemicolectomy, and if it is required is usually associated with some emergency situations and when the patient is very unhealthy.
The risks associated with a right hemicolectomy can be related but not limited to the wounds (wound infection, hernia), the bowel join (leakage, bleeding), and to the patient’s heart (arrhythmia), lungs (infection), kidneys and urinary system and the venous system (deep vein thrombosis, pulmonary emboli).
Pain relief is well organised after the procedure by the hospitals anaesthetic department. Fluids and return to a normal diet are determined by your doctors’ usual protocol and your individual circumstances.It is best to discuss more details regarding your specific case with your doctor.