MINIMALLY INVASIVE COLORECTAL SURGERY

HELPFUL MEDICAL INFORMATIONS FOR OUR PATIENTS

PATIENT INFO

HELPFUL MEDICAL INFORMATIONS FOR OUR PATIENTS

PATIENT INFO

HELPFUL MEDICAL INFORMATIONS FOR OUR PATIENTS

PATIENT INFO

WHAT IS MINIMALLY INVASIVE COLORECTAL SURGERY?

Colorectal diseases can pose significant challenges and affect the lives of both men and women. Thankfully, progress in medical technology has opened doors to less invasive treatment alternatives.


Minimally invasive colorectal surgery, or keyhole surgery, is an approach that offers numerous benefits compared to traditional open surgery. It is a surgical technique in which surgeries are performed through small incisions of 0.5 to 1.5 centimetres.

WHAT ARE THE DIFFERENT TYPES OF MINIMALLY INVASIVE SURGERY USED FOR COLORECTAL DISEASE?

Laparoscopic surgery

Laparoscopic surgery entails using small incisions through which a slim tube containing a camera (laparoscope) is introduced. Surgeons perform the procedure while viewing magnified images on a monitor. This technique reduces the trauma of access to surrounding tissues, accelerates recovery, and minimises scarring.


Robotic surgery

Robotic surgery is a minimally invasive technique utilising robotic arms controlled by the surgeon. This method provides enhanced precision, skill, and visualisation. Robotic colorectal surgery is becoming increasingly popular due to its increased accuracy of dissection and potential for improved outcomes.


Transanal minimally invasive surgery (TAMIS)

TAMIS involves placing modified laparoscopic instruments via and access channel positioned in the anal opening. This allows dissection and removal of lesions located in the rectum and lower part of the colon. Like abdominal laparoscopic or robotic surgery, the improved optics and instrument precision facilitates more accurate surgery compared with the traditional open transanal approach.

WHAT ARE THE BENEFITS OF MINIMALLY INVASIVE COLORECTAL SURGERY OVER TRADITIONAL OPEN 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.

IS MINIMALLY INVASIVE SURGERY A COMMON PROCEDURE FOR REMOVING GALLSTONES?

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.

CAN MINIMALLY INVASIVE SURGERY BE USED TO REPAIR A HERNIA?

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.

HOW IS THE DECISION MADE BETWEEN MINIMALLY INVASIVE AND OPEN SURGERY FOR COLORECTAL DISEASE?

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.

ARE THERE SPECIFIC COLORECTAL DISEASES THAT CAN BENEFIT FROM MINIMALLY INVASIVE SURGERY?

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.

WHAT IS THE COST OF MINIMALLY INVASIVE COLORECTAL SURGERY IN SINGAPORE?

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.

WHAT ARE THE POTENTIAL RISKS AND COMPLICATIONS OF MINIMALLY INVASIVE COLORECTAL SURGERY?

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.

HOW CAN I PREPARE FOR MINIMALLY INVASIVE COLORECTAL SURGERY?

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.

WHAT IS THE RECOVERY PROCESS LIKE AFTER MINIMALLY INVASIVE COLORECTAL SURGERY?

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.

ARE THERE ANY ALTERNATIVES TO MINIMALLY INVASIVE SURGERY FOR TREATING COLORECTAL DISEASES?

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.

CALL YOUR COLORECTAL SURGEON IMMEDIATELY IF:

  • 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 IN SINGAPORE

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.



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FAQ

  • ARE THERE AGE RESTRICTIONS FOR UNDERGOING MINIMALLY INVASIVE SURGERY FOR THESE CONDITIONS?

    Minimally invasive surgery is generally suitable for patients of various ages. However, the decision is based on individual health status and the specific colorectal condition.

  • CAN MINIMALLY INVASIVE SURGERY BE PERFORMED IN EMERGENCY CASES INVOLVING GALLBLADDER STONES OR HERNIAS?

    In selected emergency cases, minimally invasive surgery is definitely an option. The situation's urgency and the patient's overall health will influence the decision-making process.

  • CAN MINIMALLY INVASIVE SURGERY ADDRESS MULTIPLE CONDITIONS IN A SINGLE PROCEDURE?

    Depending on the complexity of the conditions, some patients may undergo a single minimally invasive procedure to address multiple colorectal issues. This decision is typically made during the preoperative evaluation.

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