Surgical endoscopy for colon tumors

The introduction of surgical endoscopes into oncology surgeries is considered a new breakthrough in modern science and medical engineering technology, due to the accuracy that this technology provides in surgical performance and the quality of resection and treatment of diseases.

Surgical endoscopy for colon tumors

08/11/2023
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The introduction of surgical endoscopes into oncology surgeries is considered a new breakthrough in modern science and medical engineering technology, due to the precision that this technology provides in surgical performance and the quality of resection and treatment of diseases with the least incisional wound in the abdominal wall. With this new discovery of science, the patient avoids long periods of recovery in the hospital and post-surgical pain, with speedy recovery and recovery in the shortest time, even in the largest surgical cases. One of the biggest gains of laparoscopic surgeries is the ability to remove colon tumors without opening the abdominal wall and through openings in the abdominal wall, the largest of which does not exceed 1.5 cm. Laparoscopic surgeries began three decades ago and were initially limited to diagnostic aspects in the field of gynecology. Then they extended to therapeutic aspects, such as dissolving adhesions in the pelvic area. Then their scope increased to expand to all parts of the abdomen. The most famous of all are surgical laparoscopic gallbladder removal surgeries, which are common throughout. What is new is the spread of laparoscopic surgeries to include a large segment of tumors, namely colon and rectal tumors. There is no doubt that tumors in general have been on a steady increase in the last two decades with the progress of industrial and agricultural technology. The European Union has established a project for the Mediterranean countries (Pardigma) to study the rates of colon and anal cancer, early detection and surgical intervention to treat them, and then follow-up complementary treatment after surgery (chemoradiation therapy). The project concluded that colon and anal cancer tumors are steadily increasing and that the age of infection is decreasing and recovery is inevitable. Complete recovery after infection depends on early detection and early surgical intervention to treat colon and anal cancer.
A large segment of patients suffer from abdominal exit holes (colostomy). The colostomy (excretory opening from the abdomen), which is the diversion of waste into the abdominal wall, is one of the methods that has been less used in the last decade. This method was commonly used and is still used in some medical centers for cases of removal of anal cancerous tumors and cases of high anal fistula. As for cases of low anal tumors, it was difficult to connect the colon to the anal canal after removing the tumor, but now these connections have become simple using surgical staplers, through which the intestine can be connected to the anal canal while preserving the anal constrictor muscles, so the patient can excrete normally and control the excretion process. .
What is new in these surgeries is the ability to completely remove the tumor and the lymph nodes while connecting the colon and not making an exit hole in the abdominal wall (colostomy). The usual practice in such surgeries is to divert the exit to the abdominal wall if the tumor is located in the rectum at a distance of 9-12 meters. Centimeter from the anus. The scientist has concluded that the surgeon is able to remove the anal tumor, no matter how close it is to the anus, in order to maintain the process of controlling defecation and to connect the colon to the anal canal so that the patient can defecate in a natural way. In the past, these surgeries were performed by completely opening the abdominal wall, removing the tumor, and diverting the excretory duct to the abdominal wall, known as colostomy. Laparoscopic surgeries helped completely rid the tumor from inside the abdomen, removing the lymph nodes and cleaning the pelvic area from the lymph nodes, then extracting the tumor through natural openings such as the anus. Thus, the patient had surgery, the tumor was removed, and the excretion was returned to the normal path with the least possible pain and the shortest recovery period.

 



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Professor Dr. Ali Ahmed Shafik

* Professor and Head of the Department of Colon and Anal Surgery – Kasr Al-Aini Faculty of Medicine.

* Diploma in Laparoscopic Surgery, University of Strasbourg.

* President of the Mediterranean Society of Colon and Anus.

* Regional President of the International Association of Colon and Proctologists.

0111-6644-419


0111-6644-419

Contact us now, we will answer you and provide you with medical aid.



© 2023 All rights reserved –  Professor Dr. Ali Ahmed Shafik



we care,we can




Professor Dr. Ali Ahmed Shafik

* Professor and Head of the Department of Colon and Anal Surgery – Kasr Al-Aini Faculty of Medicine.

* Diploma in Laparoscopic Surgery, University of Strasbourg.

* President of the Mediterranean Society of Colon and Anus.

* Regional President of the International Association of Colon and Proctologists.

Contact us now, we will answer you and provide you with medical aid.

0111-6644-419


© 2023 All rights reserved –  Professor Dr. Ali Ahmed Shafik