Colectomy

Colectomy

Anesthesia type	General +/- Epidural
Airway	ETT
Lines and access	PIV x 1
Monitors	Standard ASA 5-Lead EKG Urine output +/- Art line
Primary anesthetic considerations
Preoperative	Full stomach precautions if acute abdomen
Intraoperative
Postoperative
Article quality
Editor rating	In development
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A colectomy is a surgical procedure to remove all or part of the colon. A partial colectomy (also known a segmental or hemi-colectomy) involves removing a portion of the colon, followed by the creation of an anastomosis or stoma. With more advanced disease, the entire large intestine is removed (total colectomy). Colectomies are often done lalp

Preoperative management

Patient evaluation

System	Considerations
Neurologic
Cardiovascular	Bowel rupture can cause sepsis or septic shock and hemodynamic instability.
Respiratory	If bowel obstruction and abdominal dissension, there may be impaired diaphragmatic excursion, which could negatively impact FRC and result in more rapid desaturations. Ensure adequate preoxygenation
Gastrointestinal
Hematologic
Renal	If oral intake reduced or there's been vomiting, there may be electrolyte abnormalities.
Endocrine
Other

Labs and studies

• CBC
• BMP / Electrolytes
• Coags
• Consider T&S or T&C

Procedure variants

	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications