WHAT IS MINIMALLY INVASIVE COLORECTAL SURGERY?

Minimally invasive colorectal surgery has several advantages over open surgery.



• Faster recovery:

  Patients typically experience shorter hospital stays and quicker recovery times in mobilization and return of bowel function.

• Reduced pain and discomfort:

  Smaller incisions result in less postoperative pain and discomfort.

• Minimal scarring:

  The smaller incisions lead to cosmetically favourable outcomes with less noticeable scars.

• Lower risk of infection:

  The reduced exposure of internal organs to external contaminants lowers the risk of infections.
  

Minimally invasive surgery has enhanced the treatment of gallstones. Keyhole gallstone removal surgery, technically known as laparoscopic cholecystectomy, is now standard for treating gallstones.


In keyhole gallstone removal surgery, small incisions are made in the abdomen, through which a laparoscope and specialised instruments are inserted. The laparoscope provides a clear view of the structures around the gallbladder on a monitor, allowing the surgeon to navigate and safely remove gallstones and the gallbladder.

Hernia keyhole surgery, also known as laparoscopic hernia repair, is increasingly utilised due to its numerous advantages over traditional open surgery.

During keyhole hernia surgery, minor incisions are made near the hernia's location. Subsequently, a laparoscope and specialised tools are employed to reduce the protruding tissues and strengthen the weakened abdominal wall using a mesh.

The decision between minimally invasive surgery or open surgery is contingent on factors like the patient's general health and the nature of the condition being treated, as well as the technical ability of the surgeon in the technique. While minimally invasive techniques are preferred whenever possible, open surgery may be necessary in complexed colorectal conditions.

Many colorectal conditions can be effectively treated with minimally invasive surgery, including:

• Colon cancer

  : Almost all stages of colon cancer can be treated with the use of laparoscopic or robotic surgery.

• Diverticulitis

  : Minimally invasive approaches can be effective in treating diverticulitis.

• Inflammatory bowel disease

  : Laparoscopic operations are frequently used for Crohn's disease and ulcerative colitis.

• Rectal polyps

  : Transanal minimally invasive surgery is often employed to remove benign or precancerous growths (polyps) in the rectum. This approach allows for targeted removal while minimising impact on surrounding tissues.

• Rectal cancer

  : In cases where cancer is detected at an early stage and is limited to the superficial layers of the rectum, transanal minimally invasive surgery may be employed for tumour removal. In all other rectal cancers, the laparoscopic or robotic technique can be employed.
  

The cost of minimally invasive colorectal surgery in Singapore varies based on the specific procedure, the surgeon's experience, and the hospital facilities. We recommend you consult with your surgeon for an actual estimate.

While minimally invasive surgery generally has fewer complications than open surgery, potential risks include infection, bleeding, and damage to surrounding structures. These risks are often lower than those associated with traditional open procedures for colorectal diseases.

Preparation for minimally invasive colorectal surgery involves:



1. A medical evaluation to ensure your general health is optimised for surgery.
2. A consultation with your surgeon discussing the procedure, potential risks, and expected outcomes.
3. Following preoperative instructions provided by your surgeon, including dietary and medication instructions.
   

Recovery from minimally invasive colorectal surgery is generally faster than open surgery. Patients are advised to participate in progressive mobilization activities and slowly reintegrate into their usual daily routines, following the guidance of their healthcare team. 

Follow-up appointments are crucial to monitor progress and address any concerns.

There are conditions of the colon and rectum that can only be treated surgically. All these are amenable to the minimally invasive approach if deemed suitable by your surgeon.

• You have severe pain or swelling: Experiencing intense pain or abnormal swelling may indicate complications.
• You have a fever: An elevated temperature could indicate infection.
• You are bleeding: Any evidence of bleeding after surgery should be assessed and addressed promptly.
  

Minimally invasive colorectal surgery is advantageous in treating various colorectal conditions. You should consult your healthcare provider to determine if the procedure is for you.

If you seek specialised care in Singapore, Colorectal Clinic Associates offers minimally invasive colorectal surgery expertise. Dedicated to delivering personalised and comprehensive care, we are focused on achieving the best possible outcomes for you.



Schedule a consultation to learn more about gallstone removal.