Total Abdominal Colectomy for Colorectal Cancer

A total abdominal colectomy is a type of colorectal cancer surgery in which a surgeon removes the entire large intestine, then connects the small intestine directly to the rectum. The connection between the small intestine and the rectum is known as an anamastosis. In most cases, an anamastosis allows a patient to digest food and pass waste normally, although a stoma (small opening in the abdomen) may be required depending on the amount of tissue removed during the operation.

A total abdominal colectomy can be performed as a traditional (open) surgery or as a minimally invasive procedure, depending on the size and location of a tumor and a patient’s fitness, body mass index and overall health. Patients who are candidates for the minimally invasive approach may benefit from:

  • Shorter recovery times
  • Fewer complications, including less postoperative scarring
  • A quicker return to normal bowel function

At Moffitt Cancer Center, our patients have access to a team of surgical oncologists who specialize in performing procedures to treat colorectal cancer. We perform many complex abdominal surgeries each year, including traditional and minimally invasive total colectomies. Due to our extensive experience, as well as our multispecialty approach to treatment planning, our colorectal cancer outcomes are routinely better than the national averages. Our supportive care team also has extensive experience in helping patients recover from major abdominal surgeries, offering dietary counseling, physical therapy and other services to improve postoperative quality of life.

To learn more about a total abdominal colectomy or any of the other surgical treatments we offer at Moffitt, call 1-888-MOFFITT or submit a new patient registration form online. We welcome patients with and without referrals.