About the Total Colectomy

Total abdominal colectomy is a surgical procedure of removing the large intestine from the ileum to the rectum. It is a type of a bowel surgery used as a colon cancer surgery. It is also known as colon resection surgery. After removal, the end of the small intestine is sewn to the rectum. This procedure is also called Ileorectal anastomosis; Subtotal colectomy.

Diagnosis & Pre-Surgical Evaluation

Colonoscopy, imaging (CT/MRI), and blood tests
Assessment of overall health and surgical fitness

Pre-Surgery Preparations

Bowel cleansing, fasting, and medication adjustments
Discussion of surgical approach (open, laparoscopic, or robotic)

Procedure

Removal of the entire colon
Connection of the small intestine to the rectum or creation of an ileostomy

Post-Surgical Recovery

Hospital stay, pain management, and gradual diet reintroduction
Monitoring for complications and wound care

Long-Term Follow-Up

Regular check-ups, nutritional guidance, and bowel function monitoring

Ulcerative Colitis
Colorectal Cancer
Crohn’s Disease
Familial Adenomatous Polyposis (FAP)
Severe Bowel Obstruction or Perforation
Recurrent Bleeding or Infection

Patients who are not responding to medical treatment due to severe or chronic intestinal disorders
People with diseases, including Crohn's disease, ulcerative colitis, colorectal cancer, or intestinal blockage
Individuals with a high risk of colon cancer, frequent bleeding, or perforation
People who, based on their general health and clinical assessment, are medically fit to have major surgery

If needed, the doctor may also suggest additional procedures such as:

Ileorectal Anastomosis
Ileostomy
Laparoscopic or Robotic-Assisted Surgery
Partial Colectomy
Proctocolectomy
Stoma Reversal Surgery

Relieves severe or chronic colon symptoms such as pain, bleeding, and diarrhoea
Treats life-threatening conditions like colorectal cancer or perforation
Prevents complications from progressive colon diseases
Reduces the risk of cancer in patients with genetic conditions
Improves overall quality of life when other treatments have failed
Can be combined with minimally invasive techniques for faster recovery

Significant alleviation of persistent bowel problems and abdominal pain
Management or treatment of the underlying colon disease
Decreased chance of potentially fatal consequences including bleeding or perforation
Enhanced digestion and general well-being
Possible removal of drugs linked to illness in numerous situations
Gradual transition to regular bowel motions or, if necessary, stoma care

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