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Proctocolectomy is the surgical removal of the entire colon and rectum from the human body, leaving the patients small intestine disconnected from their anus. [1] It is a major surgery that is performed by colorectal surgeons, however some portions of the surgery, specifically the colectomy (removal of the colon) may be performed by general surgeons. [2]
[1] [11] If the rectum is also removed, it is a total proctocolectomy. Sir William Arbuthnot-Lane was one of the early proponents of the usefulness of total colectomies and was considered a pioneer of colon surgery for routinely performing this procedure. However, his overuse of the procedure called the wisdom of the surgery into question.
Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. [1] The field is also known as proctology , but this term is now used infrequently within medicine and is most often employed to identify practices relating to the anus and rectum in particular.
Surgical resection of tumors for staging and for curative purposes requires removal of local blood vessel and lymph nodes. Standard lymph node resection includes three consecutive levels of lymph nodes and is known as a D3 lymphadenectomy. [10] In addition to surgery adjuvant chemotherapy may be used to decrease risk of recurrence.
The technique of ileal pouch-anal anastomosis (IPAA) surgery, also known as restorative procotocolectomy (RPC) consists of removal of the diseased colon and rectum, immediately followed by the creation of a surgical join (anastomosis) between the small intestine above and the anus below. The reservoir function of the rectum lost by its removal ...
Pinealectomy is the surgical removal of the pineal gland, used often on birds to study circadian rhythms. Pneumonectomy is the surgical removal of a lung. Polypectomy is the surgical removal of an abnormal growth of tissue known as a polyp. Posthectomy, more commonly known as circumcision, is the surgical removal of the foreskin of the penis
“Doctors refer to symptomatic hemorrhoids as either external or internal,” says Mitchell A. Bernstein, M.D., a colon and rectal surgeon and professor of surgery at the NYU Grossman School of ...
Extirpation of the colon, or colectomy, is used in the treatment of patient's ulcerative colitis whose condition is resistant to other therapies. In many cases, the removal of the colon may entirely cure the disease. [6] [7] A colectomy may also be utilized in the treatment of colon cancer.
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