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Rectal Surgery

Introduction: Understanding Rectal Cancer Surgery Options

If you have been diagnosed with rectal cancer, rest assured that there are effective surgical options available to treat this condition. Rectal cancer surgery aims to remove the cancerous tumor and restore the normal function of the rectum. Open surgery, laparoscopic surgery, and robotic rectal cancer surgery are three primary approaches used by surgeons to address this disease. Understanding these surgical options can empower you to make informed decisions about your rectal cancer treatment. In this guide, we will provide an introduction and description of open, laparoscopic, and robotic rectal cancer surgery, helping you gain knowledge and insight into these surgical approaches.

Open Rectal Cancer Surgery: Open rectal cancer surgery is a traditional approach where the surgeon makes an incision in the abdomen or the lower pelvis to access the rectal area. This technique provides direct visualization and access to the rectum and surrounding tissues. During the procedure, the surgeon removes the cancerous tumor along with a portion of healthy tissue to ensure complete removal. Depending on the extent of the surgery, the rectum may be reconnected to the anus or a temporary or permanent stoma may be created. Open surgery is suitable for various stages of rectal cancer and allows the surgeon to address complex cases effectively.

Laparoscopic Rectal Cancer Surgery: Laparoscopic rectal cancer surgery, also known as minimally invasive surgery, involves making small incisions in the abdomen. A laparoscope, a thin tube with a camera and light attached to it, is inserted through one of the incisions, providing a clear view of the surgical area on a monitor. The surgeon operates using specialized instruments inserted through other small incisions. Laparoscopic surgery offers advantages such as smaller incisions, reduced scarring, less blood loss, shorter hospital stays, and faster recovery compared to open surgery. It is commonly used for early-stage rectal cancers and certain selected cases.

Robotic Rectal Cancer Surgery: Robotic rectal cancer surgery is an advanced form of minimally invasive surgery that utilizes a robotic surgical system. The surgeon operates the robotic arms from a console, controlling precise movements with enhanced dexterity and visualization. The robotic system provides a three-dimensional view of the surgical area, allowing for more precise and controlled movements during the procedure. Robotic surgery offers similar benefits to laparoscopic surgery, including smaller incisions, reduced scarring, less pain, and faster recovery. It is particularly beneficial for complex rectal cancers and cases requiring delicate dissections.

Choosing the Right Approach: The choice of rectal cancer surgery technique depends on several factors, including the stage and location of the cancer, your overall health, and the expertise of your surgical team. Your healthcare provider will evaluate your specific condition and discuss the most suitable approach for you. It is important to have an open and thorough discussion with your surgeon to understand the benefits, risks, and expected outcomes of each technique.

Conclusion: Open, laparoscopic, and robotic rectal cancer surgery are effective approaches for treating rectal cancer. Each technique offers its unique benefits and considerations, and the choice depends on individual factors and the expertise of your surgical team. Engage in open communication with your healthcare provider, express your concerns, and actively participate in the decision-making process to ensure the best possible outcome for your rectal cancer surgery. Remember, your healthcare team is there to support you throughout your treatment journey.


  • Phone

    +27 21 201 6582

  • Consulting Rooms

    Room 4,
    Durbanville Medisuite,
    9 Paul Kruger St, Durbanville,
    Cape Town 7550

  • Hospital

    Mediclinic Durbanville
    Wellington Road, Durbanville,
    Cape Town 7550