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Medical Forum / Diseases and Disorders / Cancer / June 2007

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Surgery for colon cancer

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C. J. Clegg - 27 Jun 2007 19:05 GMT
My cousin has been diagnosed with colon cancer, around the midpoint of
the ascending colon. It was picked up during a colonoscopy, and was so
small that the doctor almost missed it.  She was told that it was caught
very early and that prognosis was very good.

Surgery went well and the surgeons are happy with the result.  They took
out the entire ascending colon including the cecum, all the way up to the
hepatic flexure.

Seems to my untrained mind as a mighty drastic treatment for a cancer so
small they almost didn't see it.  Is that a normal extent of surgery for
something so small?

If they removed the cecum, how did they then go about reattaching the
small intestine to what was left of the colon?
I.P. Freely - 27 Jun 2007 20:18 GMT
> My cousin has been diagnosed with colon cancer, around the midpoint of
> the ascending colon. It was picked up during a colonoscopy, and was so
[quoted text clipped - 8 lines]
> small they almost didn't see it.  Is that a normal extent of surgery for
> something so small?

Removing less of the colon leaves too much blood circulation burden on
the remaining blood supply, leading to blood-starved sections dying off.
Her hemicolectomy also promotes negative cancer margins.

> If they removed the cecum, how did they then go about reattaching the
> small intestine to what was left of the colon?

Titanium staples, ideally.

Been there, done that. Once she experimentally learns to adjust her
fiber and fluids intake, she'll pretty much forget she had the surgery.
Our colon's primary function is removing excess water from waste after
our small intestine removed all the nutrients we need, so we don't even
need to change our diet or supplementation other than to walk the broad
line between constipation and loose stool. She will want to stock up on
the softest toilet paper she can find, and moisten it with water when
necessary to avoid irritation during periods of the latter.

My only lingering "symptom" is once in a great while -- a few times a
year -- my entire remaining three feet of colon fills up all at once, at
which time I have to empty it *NOW*.

I.P.
 
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