Laparoscopic Proctosigmoidectomy and Colorectal Cancer
Step 4: Removing the Diseased Bowel
The incisions used in laparoscopy are very small, so the diseased section of bowel must be removed in a special way. Your surgeon will enlarge one of the incisions and place a bag into the abdominal cavity. The diseased bowel is placed into the bag. The bag is then pulled out of the enlarged incision.
Step 5: Rejoining the Ends of the Colon
Your surgeon will rejoin the colon by using a special stapling device placed into the rectum. This rejoining of the colon and rectum is called an "anastomosis." The stapling device "fires" a ring of staples to connect the two ends. The anastomosis is checked for leaks and the pelvis is rinsed out.
A drain also may be placed in the abdomen to aid recovery after surgery. The drain will be removed a few days afterwards. All the incisions in the abdomen will be stitched or taped closed.
Recovery After Laparoscopic Proctosigmoidectomy
You will be encouraged to increase your activity level steadily once you are home after surgery. Walking is great exercise! Walking will help your general recovery by strengthening your muscles, keeping your blood circulating to prevent blood clots, and helping your lungs remain clear. If you are fit and did regular exercise before surgery, you may resume exercising when you feel comfortable and your doctor gives the approval. However, strenuous exercise, heavy lifting, and abdominal exercises such as sit-ups should be avoided for six weeks after the surgery.
You will be sent home on a soft diet, which means you can eat almost everything except raw fruits and vegetables. You should continue this diet until your post-surgical check-up. If the diet is making you constipated, call your doctor's office for advice.