Most of the time, surgery is the standard treatment for early-stage colon cancer, says one of the best colon cancer specialists in Kolkata. The type of surgery depends on many things, like the goal of the surgery, the stage of cancer, and its location in the colon. Any colon surgery needs to be done on an empty and clean colon. You may need to use enemas and/or laxative drinks to get the entire stool out of your colon. You may also have to follow a special diet before the surgery.

 

colon cancer specialists in kolkata

 

Surgery for Early-Stage Colon Cancer

If you have small colon cancer, your doctor may suggest minimally invasive surgical options.


  • Endoscopic Mucosal Resection: The larger polyps may be removed during colonoscopy with special tools that remove the polyp as well as a small portion of the colon's inner lining, using a technique called endoscopic mucosal resection.

  • Minimally Invasive Surgery: It can be used to remove polyps that can't be eliminated during a colonoscopy. During the laparoscopic surgery, your surgeon inserts devices with attached cameras that display your colon on a video monitor through multiple small incisions in your abdominal wall.

     

Surgery for Advanced Colon Cancer

If the tumour is thought to have a chance to spread or any of the colon cancer is left behind, then colectomy might be the ideal surgical treatment option. By this surgery, all of the colons including, nearby lymph nodes, are removed. If only a part of the colon is removed, then it is called a partial colectomy or hemicolectomy. When all of the colons are removed, then it is called a total colectomy.


A colectomy is done in two ways


  • Open Colectomy – Open colectomy is done by making a cut in your abdomen to access your colon. Surgical tools are used to remove the surrounding tissue of the colon in order to cut out a part or the entire colon.


  • Laparoscopic-assisted Colectomy – Laparoscopic colectomy is done by making several small cuts in your abdomen. One tiny video camera is passed through one cut and the surgical tools through the other ones.


If The Colon is Blocked

If your cancer is advanced or your overall health is bad, your surgeon may suggest an operation to clear a blockage in your colon. Instead of getting your cancer cured, this surgery is performed to alleviate symptoms, including blockage, bleeding, or pain.


Your doctor may recommend surgery or other localised treatments to eliminate the cancer if the cancer has only progressed to the liver or lung and your general health is otherwise good.

Diverting Colostomy

This surgery is done when the colon cancer spreads to other body parts. In this surgery, the colon is cut above the tumour and connected to an opening in the abdomen's skin to allow the stool to come out.

 

Importance of Mesocolic Excision for Colon Cancer Treatment 

Complete mesocolic excision for colon cancer has grown in popularity in recent years. Colon cancer doctors in Kolkata have standardised their surgical treatment approach for potentially curative disease, resulting in a reduction in local recurrence and an improvement in cancer-related 5-year survival. Total mesorectal excision for rectal cancer, which is now regarded as the international gold standard, is based on similar concepts as complete mesocolic excision. Because the tumour is removed in an entire package comprising all major pathways of dissemination, total mesorectal excision has resulted in significant improvements in outcomes.