Colorectal surgery or surgery of the large intestines is major surgery which demands skillful, disciplined and well trained surgeons.
The surgery can be elective or acute depending of the presentation of the patient.
Colorectal surgery can be indicated in the case of benign disease such as diverticulitis or in the case of benign or malignant tumors (colorectal cancer).
The surgery is done by taking away the affected piece of bowel. The bowel is then sutured or staplered back together and depending on the level of the bowel different reconstructing techniques can be applied.
One of the complications that can ensue after surgery is a non-healing of the bowel reconstruction (anastomotic leak)
this can occur in up to 10% in literature and can lead to mortality.
Indication: Benign and malignant tumors (cancer) or affected bowel
Classification Surgery: Major
Minimal invasive laparoscopic procedure: Yes
Expected hospital stay: 3-7 days hospitalisation (depending on technique)
Possible complications: Bleeding (very low chance), Anastomotic leak (low chance), Woundinfection (low chance), systemic complications related to major surgery e.g. pneumonia, cardiac problems (very low chance).
Sometimes a temporary or definitive ileostomy or colostomy is indicated
This is the so-called “stoma” or “bag” where the bowel is guided outside the abdomen.
Nowadays with modern material patients can do everything with a colostomy in place
Also the CSG has a good reference for patient peer support through the local Rosa Foundation (Stichting Rosa)
which helps and guides patients with a temporary or definite ileostomy or colostomy. Contact information for this foundation can be found in the Patient Resource section of this site.
Colorectal surgery can be done in an open classical fashion or a modern laparoscopic fashion with less surgical impact, complications, shorter hospital stay and better cosmetic results.
Laparoscopic colorectal surgery is considered highly advanced laparoscopy and is golden standard in best practice centers.CaSES strives through education and training to have this technique practiced safe throughout the region.
http://www.youtube.com/watch?v=UlLe7yuewlg
Meet this year's distinguished executive board members, who are dedicated to the success of the Caribbean Society of Endoscopic Surgeons.
Dr Charles Greenidge
Dr Wesley Francis
Dr. Carlos B. Wilson
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The CaSES is linked and affiliated to different quality-control societies and organizations. Through their specialties the CaSES surgeons are also members, board members and founding members of different surgical specialty field organizations such as the the Caribbean College of Surgeons (CCOS), the Caribbean Obesity Forum (COF) and the Caribbean Society for Hepatobiliary Surgery (CSHS).
