What is segmental colectomy?
During the operation, a single segment of the colon is removed together with the diseased tissue.
Depending on the indications, the procedure may be performed:
- for benign diseases
- for localized tumors
- for strictures
- for intestinal fistulas
- after traumatic injuries
- for certain forms of inflammatory bowel disease
After the affected segment is removed, an intestinal anastomosis is created to restore the natural passage of intestinal contents.
Our approach
At MSI, the extent of resection is determined individually after a comprehensive examination of the patient.
Before surgery, the following may be performed:
- colonoscopy
- biopsy
- computed tomography
- laboratory tests
When technically feasible and oncologically safe, we aim to perform segmental colectomy laparoscopically.
For malignant tumors, the operation follows the principles of oncological surgery, with removal of the corresponding vascular territory and regional lymph nodes. For benign diseases, we try to preserve as much healthy bowel as possible.
Postoperative treatment follows the principles of *ERAS (Enhanced Recovery After Surgery)*.
When is surgery needed?
Segmental colectomy is performed for:
- benign colon tumors
- large polyps that cannot be removed endoscopically
- localized colon cancer
- diverticular disease
- intestinal fistulas
- colon strictures
- traumatic injuries
- certain forms of Crohn's disease
- localized ischemia of the colon
Indications for surgery
Surgery is recommended for:
- a localized disease process
- ineffective conservative or endoscopic treatment
- bowel obstruction
- perforation
- bleeding
- a high risk of malignant transformation
How is the operation performed?
The procedure is performed under general anesthesia.
After the colon is mobilized, the affected segment is removed. In cancer, a regional lymph node dissection is performed at the same time in line with modern oncology standards.
After resection, a primary intestinal anastomosis is created. If the risk of an anastomotic leak is high, a temporary protective stoma may be created.
The removed specimen is sent for histopathological examination.
Advantages of laparoscopic surgery
- Performed laparoscopically whenever possible
- Less surgical trauma
- Less postoperative pain
- Faster recovery
- Lower risk of postoperative complications
- Shorter hospital stay
- Better cosmetic result
- Maximum preservation of healthy colon
Recovery after surgery
Postoperative treatment follows *ERAS* principles.
Patients start moving early and gradually resume eating. The length of the hospital stay and recovery depends on the extent of the operation, the nature of the disease, and individual factors.
In cancer, the further treatment strategy is determined after the histopathology results are available.
Our advantages
- Specialization in colorectal surgery
- A commitment to laparoscopic surgery
- Individual choice of the optimal extent of resection
- Maximum preservation of healthy bowel
- Adherence to modern international guidelines
- A multidisciplinary approach
- Enhanced recovery program (ERAS)
Frequently Asked Questions
In segmental colectomy, only the locally affected segment of the bowel is removed. Hemicolectomy involves removing a larger anatomical part of the colon together with its vascular and lymphatic territory.
Yes. When indicated and oncologically safe, we aim to perform segmental colectomy laparoscopically.
No. In most cases, an intestinal anastomosis can be created immediately. A stoma is needed only in certain clinical situations.
After minimally invasive surgery, most patients return to their everyday activities within *2–4 weeks*.
For malignant tumors, the need for additional therapy is determined after histopathological examination and discussion at a multidisciplinary tumor board. For benign diseases, postoperative follow-up is usually sufficient.