How is colon cancer surgery performed, and how does staging affect surgery?

Doctor's Answers 1

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Dr Stephen Chang

General Surgeon

Colon surgery can be done via open surgery or via laparoscopic approach ('keyhole surgery'). The feasibility to perform via laparoscopic approach sometimes depends on the stage of the disease. For instance, a locally advanced disease may not be suitable for a laparoscopic approach.

In addition, the stage of the disease may also affect the timing of the surgery. For example, a stage 4 disease with distant sites of spread may benefit from a course of chemotherapy first before considering surgery especially if the colon cancer itself is not causing too much symptom.

On the other hand, for some stage 4 disease where the spread is limited to the liver, a combined liver and colon surgery may be advocated.

Similar Questions

What is the recovery process like after a colon cancer surgery in terms of duration or other possible complications that may arise?

The recovery time on any surgery is actually quite varied and it depends heavily on the extent of the surgery required to resect the tumour adequately. As you can imagine, some tumours are very small (less than 1cm) and some, enormous (more than 20cm, involving multiple organs). Some surgeries can be performed as keyhole laparoscopic surgeries, whilst some require open laparotomies. As such, minor colon cancer surgeries are expected to have a shorter post-surgery recovery period. Larger surgeries, may require long hospital stays and closer monitoring, sometimes involving intensive care.

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Answered By

Dr Jipson Quah

General Practitioner

How much does colon cancer surgery cost in Singapore, and is it Medisave claimable in private?

Colon cancer surgery is complex and requires a team of specialists, nurses and specialised equipment. The average number of days in hospital is 7-10 days after the operation. As the cost depends on the complexity of the case and the technique used, it is difficult to quote a number but it would roughly range from $40,000 to $70,000 all inclusive. Colorectal cancer surgery is Medisave and insurance claimable. It would be best to contact your insurance provider as they are the best persons to answer your policy questions.

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Answered By

Dr Nan Yaw Wong

Colorectal Surgeon

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