Colonic resections

Colonic resection consists of removing the portion of the colon affected by disease, then joining the two healthy ends to restore the continuity of the digestive circuit. Depending on the location of the lesion, the procedure involves the right colon, the left colon, the sigmoid or the rectum. The main indications are colorectal tumours, complicated or recurrent diverticulitis and certain inflammatory bowel diseases. For tumour-related conditions, the resection also removes the lymphatic drainage territories according to strict oncological rules, and each case is discussed in multidisciplinary consultation. Laparoscopy is nowadays the preferred approach: it allows precise surgery through small incisions, with a more comfortable recovery. Combined with enhanced recovery after surgery (ERAS) protocols, it allows early refeeding and mobilisation. At Clinique Pasteur Tunis, colonic resections are performed by surgeons well versed in major digestive surgery and laparoscopy, in operating theatres equipped with high-definition systems, with attentive support throughout the hospital stay.