There are two forms for laparoscopic rectal surgery, low anterior resections (LAR) and anorectal perineal resections (APR). LAR is a very common procedure used to treat rectal cancer. Dr. Huguet will perform the surgery through tiny incisions made in the abdomen, using a laparoscope and specially designed instruments to keep the procedure as noninvasive as possible. The surgery removes the part of the rectum where the tumor is located and then reattaches the rectum to the colon. The APR is also performed laparoscopically and removes the anus, rectur, and sigmoid colon are removed. This procedure is used to treat cancer which is located very low in the rectum or anus. Once the removal is complete a new opening, called a stoma, for waste to leave the body is created. The opening will not have a sphincter, so a colostomy bag will need to be worn to collect waste as it leaves the body.
Laparoscopic surgery is considered minimally invasive because the procedure is performed inside the body, through small incisions. Once the patient is prepared for surgery and anesthetized, the surgeon will make a few small incision in the abdomen. A laparoscope will be inserted through one of the incisions. A laparoscope is a thin, flexible tube which usually has a camera attached to the end. The surgeon will gently inflate the abdominal cavity and activate the camera so he can see the inside of the body on a video screen. Then, the surgeon will use trochars and other specially designed surgical instruments to perform the surgery. In the case of rectal surgeries, part or all of the rectum and anus may be removed, depending on the location and size of the cancerous growth being removed.
Some of the benefits of minimally invasive surgery in comparison to traditional surgery include a shorter stay in the hospital, quicker recovery with less pain, quicker return to normal activity and diet, and less scarring.
Every patient’s needs and situation are different. Dr. Huguet will have a consultative meeting with the patient to determine if laparoscopic rectal surgery will be the best option to treat the condition.
This is a short-list of just some of the plans we accept. Please contact our office if you do not see your insurance provider listed.