Hemicolectomy in Thailand

Hemicolectomy is a type of a surgery in which the colon is removed. The colon is a part of the large intestine, which may get affected by a condition or the cells lining the colon may turn cancerous. During hemicolectomy, a part of the colon is removed and the two loose ends are reconnected to restore the normal functioning of the large intestine. As a result, there is no major impact on the digestion process. This procedure is used for the treatment of colon or colorectal cancer, inflammatory bowel disease (IBD), Crohn’s disease, diverticulitis, and formation of polyps inside the colon.

Hemicolectomy in Thailand

Hemicolectomy is a common procedure that is performed in almost all multispecialty hospitals in Thailand. This procedure is sometimes conducted by a general surgeon. But in case the patient is suffering from the cancer of the colon or bowel, the surgery is conducted by a team of surgical oncologists. In Thailand, the surgeons are proficient in conducting both the types of hemicolectomies, including the left and right hemicolectomies.

Hemicolectomy Cost in Thailand

Hemicolectomy cost in Thailand is dependent on several factors. For example, it depends on the type of hospital that you choose to undergo treatment at. Different hospitals have a varying degree of hospital charges that patients need to pay as a part of the total bill. Additionally, it depends on the cost of medicines and other consumables, surgeon’s fees, the total duration of hospital stay, and whether any other procedure is being conducted along with it.

Treatment and Cost

15

Total Days
In Country

2 No. Travelers

5 Day in Hospital

10 Days Outside Hospital

Treatment cost starts from

USD 18000

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 Thailand / Why should opt for Thailand as a destination for your medical treatment
Hospitals in Thailand have seen an increase in number in the past few years. One of the many reasons for such surprise growth in the healthcare division can be the development of the public health sector which comprises 9,765 health locations along with 1,002 hospitals. As the Public Hospitals in Thailand are operated by the MOPH (Ministry of Public Health), the Private Hospitals in Thailand are regulated under the Medical Registration Division. The treatments in Thailand are also keeping up with that of other major countries all across the globe. As of 2002, the Thai Government has provided a countrywide general healthcare system that covers 99.5% of the Thai population and ensures high-quality treatments in Thailand and affordable primary medical amenities to each and every citizen of Thailand. In the year 2009, the total national expenditure on healthcare was 4.3% of the GDP of Thailand. Due to such medical advancements in Thailand, the country has become the most preferred medical destination in the world providing wide-ranging medical treatments at highly-reasonable rates at good hospitals in Thailand.
What are the conditions of the hospitals in Thailand? 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. Here are a few JCI certified hospitals in Thailand :
  • Yanhee Hospital
  • Bumrungrad Hospital
  • Bangkok Hospital
  • Chaophya Hospital
  • BNH Hospital
  • Ramkhamhaeng Hospital
  • Vejthani Hospital
  • Bangkok Hospital Phuket
  • Samitivej Sukhumvit Hospital
  • Praram 9 Hospital
  • Chiangmai Ram Hospital
  • Sikarin Hospital
  • Synphaet Hospital
  • Bangkok Hospital Samui
  • Nonthavej Hospital
  • Bangkok Hospital Pattaya
  • Samitivej Srinakarin Hospital
  • Samitivej Sriracha Hospital
Are the doctors/surgeons in Thailand of the best quality?
Thailand is gaining recognition for the quality of its healthcare services after the US magazine CEOWORLD placed Thailand 6th in its 2019 list of countries with the best healthcare systems. Thai doctors gain a lot of skills during their course and this helps them practice effectively. Many doctors and surgeons also visit other countries for training and certification courses to enhance their skills and knowledge. Most doctors are exposed to a public and private healthcare system in order to be able to work in any condition. It is a collective effort from all the professionals to maintain the standard of health and Thailand is doing just that.
What is the process for obtaining a medical visa in Thailand?
Currently, medical tourists To Thailand are allowed in from 34 countries. All visitors must have proof of travel health insurance that covers a minimum of US$100,000 of medical costs incurred in Thailand, including medical costs in the event that they contract COVID-19. Under the CCSA regulations, medical tourists have to arrive by air to ensure effective disease control, not via land border checkpoints. All must have an appointment letter from a doctor in Thailand and entry certificates issued by Thai embassies across the globe. People wanting to visit Thailand for medical procedures need to contact the Thai Embassy in their country to organize the visa and paperwork. Thailand’s major hospitals will provide potential candidates with an appointment letter. Permission for medical tourists to be accompanied by up to three attending persons is intended to allow such patients to have spouses, parents, or assistants in attendance during their treatment in Thailand. However, such persons will have to conform to all the same entry requirements as the medical tourists themselves, including visas and health status.
What support services does MediGence provide in Thailand?
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
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • 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
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • 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 Thailand for medical treatment?
Bangkok is the capital of Thailand and the most sought - after destination for healthcare. It has more than 10 of the major hospitals in Thailand. The cost of treatment in Thailand is reasonable here. People tend to spend their recovery time in Bangkok as well as it is a beautiful city to visit as a tourist.

Our team of healthcare experts would be happy to assist you

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