Colorectal Surgery

Unit

Clinical activity

The Colorectal Surgery Unit performs the following general and oncological surgery within inpatient, outpatient, day hospital and day surgery regimes:

  • Minimally invasive oncological surgery
  • colon, rectal and stomach cancer surgery
  • chronic inflammatory bowel disease surgery (ulcerative colitis and Crohn's disease)
  • colon diverticular disease surgery
  • minimally invasive transanal surgery
  • laparotomic and laparoscopic hepato-biliary surgery
  • abdominal wall surgery (hernias and laparoceles)
  • esophagus-gastric functional surgery

Most of the inpatient surgery performed in this unit is related to gastrointestinal oncological diseases, most frequently colon and rectal cancer surgery, especially in elderly patients. We apply specific care protocols for frail and elderly patients.

Most of the colorectal oncological surgery performed in this unit uses laparoscopy. The recently introduced TaTME method is adopted to treat neoplasms of the distal rectum without involving the sphincter and in many cases avoiding a definitive stoma.

The ERAS protocol, designed to achieve a particularly fast postoperative recovery and a faster functional recovery, is systematically applied in our unit, thus limiting the postoperative stay for most cases of colon resection to less than 5 days.

Liver and gastric neoplasms are also treated laparoscopically whenever possible.

In collaboration with the Gastroenterology Unit, a specific care pathway is provided for patients with inflammatory bowel diseases who undergo surgery with techniques that are as far as possible laparoscopic and minimally invasive.

Surgery is carried out in operating rooms or surgical outpatient clinics equipped with the most advanced technologies for laparoscopic surgery. The unit carries out highly specialized surgery on a regular basis, which includes over 500 video laparoscopic colorectal surgeries and over 100 cholecystectomies per year for the last two years.

Outpatient surgery is performed in the NHS and private patient regimes. Our surgeons also operate in the private patient regime at affiliated clinics in Rome (Casa di Cura Mater Dei) and in Colleferro (IDP Medica).

Open Clinic 

We also run an open Outpatient Clinic for Colorectal Oncology Surgery in collaboration with other units to provide a prompt response to patients with a high diagnostic suspicion of colorectal cancer, for example patients with a positive fecal occult blood test. Through the open clinic, these patients can complete the diagnostic and therapeutic process according to the highest standards. The clinic also serves patients with an established diagnosis of colorectal neoplasia.

The clinic operates on Wednesday mornings between 10.10 am and 11.30 am. There are no appointments. Patients go to the Admissions Desk (-1 floor) ringing a referral from their attending physician stating “Urgent visit for suspected colorectal cancer” with priority U and B or with a recent positive report for the detection of occult blood in the stool.

Research fields

  • Colo-rectal cancer
  • IBD (Ulcerative rectocolitis and Crohn's disease)
  • Diverticular diseases
  • Minimally invasive surgical techniques (TEM, TaTME)
  • Oncological, inflammatory and functional digestive tract disorders

Clinical and research collaboration

  • International TaTME Registry, Pelikan Foundation e Oxford Colon Cancer Trust
  • Amsterdam UMC
  • Johnson & Johnson Medical spa
  • Medtronic
  • International University Cooperation Projects, St Damien Hospital, Ambanja (Madagascar) and Mvimwa Monastery, Rukwa Region (Tanzania)
  • American College of Surgeon (ACS) Italy Chapter, participation in the Surgical Review Course