2nd Opinion Extended Right Hemicolectomy Vs Transverse Colectomy

camicom

Hello all,

I had went and got a 2nd opinion on my Transverse colon mass. The first doctor wants to do a open Transverse colectomy. I just got a 2nd opinion of an Robot assisted laparascopic extended right Hemicolectomy. The first doctor is a surgical oncologist, the 2nd is condsidered propably the best colorectal surgeon in our city.

Please give me your thoughts and opinions.

Thanks again

 

Dave G

myAZmountain

I had laparoscopic hemicolectomy

And the recovery was a breeze, large mass in cecum that had grown up into the mouth of the ileum and also occluded the appendix. There was also some break through of the wall of colon and an encapsulated tumor hanging off the omentum-I had a GI surgeon who does do a lot of cancer surgery--long story short he got cleam margins on everything, resected colon, got bowel function back within a day, that was March 2018, nothing has ever shown up in abdomen since that time thank the lord. I was out of the hospital in 2 days--I would do a lap surgery over an open surgery any day of the week. He was able to carefully look at all adjacent organs as well, gosh he may have even palpated the liver now that I am thinking of it. Whatever you chose I hope it goes well and you heal fast and get to NED!

shu273

Robotic

Hello again,

 

Glad you opted for a second opinion. Choosing a colon and rectal surgeon vs general surgeon is the only option. 

In regard to robotic vs Laparoendoscopic, I have copied the below to you. 

 

Also, want to encourage you to make sure your hospital specializes in this surgery, has a "team" of colon and rectal surgeons, RN’s, and performs hundreds per year. If not, flights are cheap, and you can send your records to any hospital of choice. Recommend MD Anderson, or Siteman in St. Louis Mo.  This surgery is complex but not unique. My surgeon, Dr. Mutch (Siteman) teaches the surgery as well as performs hundreds per year, and has a multi-disciplinary team. This set up increases your odds of success. 

 

My surgery was lapro and not robotic, and was completed in 1.5 hours, and only spent two nights in the hospital. 

 

1. In addition to having proficiency in the field of general surgery, colon and rectal surgeons have acquired particular skills and knowledge with regard to the medical and surgical management of diseases of the intestinal tract, colon and rectum, anal canal, and perianal area. Colon and rectal surgical specialists also have special skills in the performance of endoscopic procedures of the rectum and colon and evaluation of the anal sphincter and pelvic floor using anorectal physiology techniques. Colon and rectal surgical residency programs also provide training in minimally invasive abdominal surgery involving the colon and rectum, including robotic surgery

2. The robotic approach to colorectal surgery is as safe and efficacious as conventional laparoscopic surgery. However, it is associated with longer operative time and an increased rate of conversion to laparotomy. Further prospective randomized controlled trials are warranted to examine the cost-effectiveness of robotic colorectal surgery before it can be adopted as the new standard of care.

 

 

 

camicom

shu273 said:

Robotic

Hello again,

 

Glad you opted for a second opinion. Choosing a colon and rectal surgeon vs general surgeon is the only option. 

In regard to robotic vs Laparoendoscopic, I have copied the below to you. 

 

Also, want to encourage you to make sure your hospital specializes in this surgery, has a "team" of colon and rectal surgeons, RN’s, and performs hundreds per year. If not, flights are cheap, and you can send your records to any hospital of choice. Recommend MD Anderson, or Siteman in St. Louis Mo.  This surgery is complex but not unique. My surgeon, Dr. Mutch (Siteman) teaches the surgery as well as performs hundreds per year, and has a multi-disciplinary team. This set up increases your odds of success. 

 

My surgery was lapro and not robotic, and was completed in 1.5 hours, and only spent two nights in the hospital. 

 

1. In addition to having proficiency in the field of general surgery, colon and rectal surgeons have acquired particular skills and knowledge with regard to the medical and surgical management of diseases of the intestinal tract, colon and rectum, anal canal, and perianal area. Colon and rectal surgical specialists also have special skills in the performance of endoscopic procedures of the rectum and colon and evaluation of the anal sphincter and pelvic floor using anorectal physiology techniques. Colon and rectal surgical residency programs also provide training in minimally invasive abdominal surgery involving the colon and rectum, including robotic surgery

2. The robotic approach to colorectal surgery is as safe and efficacious as conventional laparoscopic surgery. However, it is associated with longer operative time and an increased rate of conversion to laparotomy. Further prospective randomized controlled trials are warranted to examine the cost-effectiveness of robotic colorectal surgery before it can be adopted as the new standard of care.

 

 

 

Thank you

Thank you so much for the reply. The robot is no extra, as the billers include it in the medical code. My primary doctor has a good friend, who does children and infant digestive and colon surgery. He asked him who he would pick if he was having my operation and he said the surgeon that I have picked. Made me feel pretty good about my choice.

camicom

myAZmountain said:

I had laparoscopic hemicolectomy

And the recovery was a breeze, large mass in cecum that had grown up into the mouth of the ileum and also occluded the appendix. There was also some break through of the wall of colon and an encapsulated tumor hanging off the omentum-I had a GI surgeon who does do a lot of cancer surgery--long story short he got cleam margins on everything, resected colon, got bowel function back within a day, that was March 2018, nothing has ever shown up in abdomen since that time thank the lord. I was out of the hospital in 2 days--I would do a lap surgery over an open surgery any day of the week. He was able to carefully look at all adjacent organs as well, gosh he may have even palpated the liver now that I am thinking of it. Whatever you chose I hope it goes well and you heal fast and get to NED!

Thank you

Thank you. I very much appreciate the input and tory. Glad you are doing so well.

myAZmountain

Yep a colo-rectal surgeon

Yep a colo-rectal surgeon is what I meant when I said I had a GI--sorry I wasn't specific about that--also one that was very proficient in laparoscope. Best of luck with the surgery and recovery!!