How long does right hemicolectomy recover

summary

For some reasons, some patients will suffer from right hemicolon disease, which greatly affects the normal function of patients with intestinal tract. This urgently requires patients to go to the hospital to do the relevant examination, so as to take the right hemicolectomy. Now let's talk about the recovery time of right hemicolectomy.

How long does right hemicolectomy recover

First, right hemicolectomy should be performed on the cecum and ascending colon cancer, including resection of the terminal ileum 15cm, cecum, ascending colon, right half of transverse colon and part of omentum and gastroepiploic vessels, and resection of ileocecal artery, right colonic artery, middle colonic artery branches and associated lymph nodes. For left colon cancer complicated with acute obstruction, the risk of one-stage resection is high. Generally, the right transverse colostomy should be performed first, and then radical operation should be performed after 2-3 weeks of decompression and preparation.

Second, for right colon cancer, one-stage operation is feasible, but if the condition is critical and the obstruction is serious, cecostomy or colostomy should be performed first. Indwelling catheter should be placed before left hemicolectomy. Gastrointestinal decompression tube was placed in the morning of operation. The resection range of right hemicolectomy for cecal and ascending colon cancer should be 15 cm from the end of ileum, right half of cecum, ascending colon, transverse colon and part of omentum and gastric omentum vessels.

Third: for those who are old, frail, and have been using antibiotics for a long time before and after operation, nystatin can be taken at the same time, 3 times a day, 1 million u each time, to inhibit the growth of mold. Vitamin K should be given at the same time when taking orally intestinal antibiotics. Right rectus abdominis incision or right paramedian incision. After incision of peritoneum, the disinfection towel was sutured on both sides of peritoneum to protect the incision from contamination. The extent of the lesion and the metastasis of mesenteric lymph nodes or liver were detected.

matters needing attention

The operation risk of right hemicolectomy is not as high as expected, but the operation process is very complex. For severe patients, a second operation is needed. The recovery time is also different from person to person, different body quality is different, so the recovery time is also relatively long. Postoperative nutrition should also be supplemented.