Hemicolectomy Treatment in South Korea

When a part of the large intestine or colon gets affected by cancer, the process of removing that part by surgery is called Hemicolectomy.  

It is mainly required to treat the cancer of vowels or the type of Crohn's disease. The surgical process includes the removal of the infected area of the bowel and replacing it with a new part which may be grafted from the skin or an artificial implant.  

It is mostly an advanced measure that is taken when the part of the colon cannot be cured by the means of any medicinal measure. It also depends on how much the damage is and the extent of infection in the colon. 

Ideal Candidate for Hemicolectomy

When a person is suffering from some acute condition of the stomach then he or she is an eligible candidate for Hemicolectomy.

Mostly in the case of bowel cancer, doctors prefer to use the surgical technique of hemicolectomy. The conditions of ulcerative colitis also make the patient an ideal candidate for the procedure of hemicolectomy. The other conditions include Crohn's disease, polyps or growths, and diverticulitis. 

The polyp growth in the stomach is the one that requires close attention as they don’t normally get cured by the traditional medicinal procedure. There are several methods that can achieve hemicolectomy and these are based on the complications of the patient.

Factors affecting the cost of Hemicolectomy 

Following are the factors which influence the cost of hemicolectomy:

  • Choice of destination
  • Type of hospital
  • Type of surgery, laparoscopic or open surgery
  • Experience and consultation fee of doctors and surgeons involved
  • The severity of the condition
  • Post-surgical complications
  • Any other lab tests or examination tests such as X-ray, ECG, etc
Treatment and Cost

15

Total Days
In Country

2 No. Travelers

5 Day in Hospital

10 Days Outside Hospital

Treatment cost starts from

USD 37500

Hospitals

About the Hemicolectomy

The last part of the gastrointestinal system is referred as the colon and it is 5-6 cm long. It is ‘U’ shaped and it starts from the distal part of the small intestine and is connected to the rectum and anus. It absorbs the fluids, processes the metabolic waste products, and eliminates through the rectum and anus. The removal of the colon is called colectomy.

There are different types of colectomies such as complete colectomy,  right hemicolectomy, left hemicolectomy, sigmoid colectomy, and proctocolectomy. The surgical removal of the left side of the colon (descending colon) is called left hemicolectomy surgery. The surgical removal of the cecum, ascending colon, and the hepatic flexure (right side of the colon) is called as the right hemicolectomy surgery.

Some of the conditions that require complete colectomy or hemicolectomy surgery include the following:

  • Colon cancer
  • Crohn’s disease
  • Blockage of the colon
  • Precancerous polyps
  • Hereditary polyps
  • Benign tumours
  • Irritable bowel syndrome (IBS)
  • Gastrointestinal bleeding
  • Bowel twisting and obstruction
  • Ulcerative colitis
  • Appendicitis with inflammation of the cecum
  • Right-side colonic diverticular disease (diverticulosis)

A hemicolectomy procedure can be performed as a laparoscopic or open surgery. The type of the surgery to be performed is decided by the surgeon during the evaluation and the decision depends on the age and the condition of the patient.

Sometimes the laparoscopic procedure can also be turned into open surgery, depending on the feasibility of the procedure with respect to safety and accuracy. Overall, the following parameters decide whether a laparoscopic or an open surgical procedure will be performed:

  • Age
  • Diagnosis
  • Medical history
  • Personal preference

How is Hemicolectomy performed?

You will be informed by your surgeon about the type of surgical procedure that you will benefit you the most. You will be taken to the operating room, and blood pressure and breathing will be monitored.

Left Hemicolectomy Procedure

You will be positioned in lithotomy Trendelenburg (modified Lloyd-Davis) position and your both arms will be abducted on arm boards. The legs will be placed in stirrups and soft padding will be placed underneath to prevent pressure and injuries to the skin and nerves. 

After positioning, you will be given general anaesthesia so that you do not feel any pain during the procedure. Sometimes, a peripheral nerve block may also be given to control pain during and after the surgery.

  • In laparoscopic left hemicolectomy surgery, three to five tiny incisions are made in your belly, and a laparoscope is inserted from one of the incisions. Your surgeon can visualize the inside of your belly on the monitor by the camera of the laparoscope.
  • The laparoscope has a light that will aid in viewing. The other medical instruments required for the surgery will be inserted through the other incisions. Gas will be used to expand the belly and for clear viewing. A two to three inches cut will be made and the colon will be taken out for easy excision of the part and the ends of the remaining colon will be rejoined. A laparoscopic surgery is a minimally invasive procedure that ensures faster recovery as fewer traumas occur to the organs. It causes less pain as compared to open surgery.
  • In open surgery, a six to eight-inches long cut is made on your belly, and the diseased part of the colon is taken out using the surgical instruments. Lymph nodes are also removed. After removal, the healthy parts of the intestine are joined at the ends using stitches or they are stapled together. The joining of the parts of the intestine is called anastomosis. If there is no healthy part of the colon, then an opening called stoma is made in the belly with the remaining colon. This stoma will be connected to a drainage bag in which the metabolic wastes get collected. This drainage bag should be cleaned manually on a daily basis.
  • The stoma can be permanent or short-term, based on the condition of the colon. Despite the trauma, an open procedure is the safest and effective procedure. The total procedure can be completed in one to four hours.

Right Hemicolectomy Procedure

You will be positioned in the supine position initially and later you may be taken to the Trendelenburg position (lying by facing upwards on a tilted bed with pelvis higher than the head).

After positioning, you will be administered general anaesthesia and an additional epidural block for pain management. The catheter will be placed for monitoring the urine output during and after the procedure. The laparoscopic right hemicolectomy procedure or open surgery can be performed, depending on the condition of the colon.

  • In the minimally invasive laparoscopic right hemicolectomy procedure, small incisions are made in your belly and a laparoscope will be inserted through the incisions. The right side of the colon and last part of the small intestine will be removed during the procedure along with the lymph nodes. The remaining part of the small intestine and the colon are joined with sutures or staples. The excised part of the colon is removed by making an incision in the belly.
  • In the open surgery for diverticulosis and other conditions, a long cut is made on the belly and the procedure is carried out by opening the abdomen. The right side of the colon is cut and removed and the remaining parts of the intestine are joined by sutures or surgical staples. Usually, this procedure may not require a stoma outside the belly. The procedure is completed in two to three hours.

During the hemicolectomy procedure, your surgeon may take any of the following approaches:

  • Remaining parts of the colon are rejoined (anastomosis)
  • Stoma may be created on belly (colostomy)
  • Joining of the small intestine and the anus (ileoanal anastomosis)

Recovery from Hemicolectomy

  • A hospital stay of two to three days may be required for a laparoscopic surgery and a three to seven days stay is required for an open surgery.
  • You will be placed on an intravenous drip for 24 hours and nothing will be given by mouth.
  • You will be allowed to take clear liquids after 24 hours of the procedure.
  • A catheter will be placed for draining the bladder, and it will be removed after a few days.
  • The sutures and staples on the belly will be removed after 14 days of the surgery.
  • You should avoid heavy lifting and heavy physical activities for up to six weeks.
  • You should avoid spicy foods and take small and frequent meals.
  • You should walk after 24 to 48 hours of the procedure to avoid respiratory problems.
  • Depending on the progress of your recovery and the evidence of bowel excretion, you will be discharged.
  • You should visit the surgeon as per the scheduled follow-up visits so that the condition of the bowel can be assessed.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of South Korea / Why should opt for South Korea as a destination for your medical treatment?
South Korea is recognized for its strict rules and regulations which have kept the country in strict discipline. As an upside, the country has well-maintained regulations for every process and impressive medical healthcare facilities which have garnered thousands of visitors from across the world. The reason for opting for hospitals in South Korea is the astounding treatment options available at a very cost-effective price range, which is undoubtedly more affordable than most of the developed countries across the world. Besides the well-planned infrastructure, the treatment in South Korea and the alternatives offered are tempting enough. Apart from that, the country also flaunts high success rates and has thus been able to cure some of the most complex diseases in the world.
What are the conditions of the hospitals in South Korea? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. YUHS Severance Hospital + Gangnam Severance Hospital is a JCI certified hospital in South Korea.
Are the doctors/surgeons in South Korea of the best quality?
The doctors and surgeons providing treatments in South Korea are globally recognized for their service in the medical field. Furnished with degrees from reputed universities and decades of training and experience, the doctors have earned high success rates throughout their professional careers. The doctors have to undergo rigorous training to keep up with the strict protocol and measures of hospitals in South Korea. Hence, quality is maintained.
What is the process for obtaining a medical visa in South Korea?
The Korean embassy follows a strict protocol for obtaining a visa for traveling to the country. The necessary documents (photocopies and original) have been listed on their official website and should be strictly adhered to. The candidate also has to produce necessary papers stating the medical cause and referral certificate signed by the registered medical practitioner. Although these need to be taken care of by the candidate, the rest of the procedures and further visa assistance is managed by the sponsors in most cases. A Medical Dependent Visa is granted to those who are accompanying a patient traveling to Sount Korea for medical treatment on a Medical Visa. This visa can be given to a close relative/family member or a friend of the patient. Please note that relevant letters/documents explaining details of the treatment, signed and stamped by the concerned hospitals/doctors, a declaration from the patient or an immediate family member is also required confirming the escort travel along with the patient.
What support services does MediGence provide in South Korea?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
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  • Doctor Validation and Communication
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  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
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  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in South Korea for medical treatment?
Treatment in South Korea is affordable. Seoul is the capital of South Korea and one of the main cities for healthcare. Seoul and Daegu have some of the best hospitals in South Korea. Busan, Incheon, and Ulsan also have developing healthcare facilities.

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