Rectal Cancer Removal


Rectal cancer is one of the most common types of gastrointestinal cancers, diagnosed in over 700,000 people worldwide each year. The main symptoms of this disease may include blood in the stool, changes in bowel habits, and persistent abdominal discomfort. Regular screenings and colonoscopies help detect cancer at early stages, significantly increasing the chances of successful treatment. In Ukraine, as of 2023, around 8,000 new cases of rectal cancer are diagnosed annually. Treatment may include surgery, chemotherapy, and radiotherapy, depending on the stage and spread of the disease.

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Symptoms of Rectal Tumors

The main symptoms of rectal cancer include:

  • Blood in the stool – one of the most common signs, which may appear as bright red or dark blood in the feces;
  • Pain during defecation;
  • Changes in bowel habits – frequent constipation or diarrhea, as well as the feeling of incomplete emptying;
  • Abdominal pain or discomfort – the patient may experience cramping, bloating, or pain;
  • Changes in the shape of the stool (narrow, ribbon-like stools);
  • General weakness and fatigue – low energy and persistent tiredness that does not improve with rest;
  • Unexplained weight loss – a sudden drop in weight not associated with dietary or physical activity changes.

Diagnosis of Rectal Cancer

Rectal cancer diagnosis at Helyos Clinic in Dnipro is performed by leading proctology specialists. The examination includes the following steps:

  • Initial consultation – the doctor conducts a physical examination and collects information about symptoms, medical history, and family history. A digital rectal exam is also performed to detect possible changes in the rectal wall;
  • Laboratory tests – blood tests can reveal anemia, often associated with rectal cancer, and measure tumor markers such as carcinoembryonic antigen (CEA);
  • Endoscopic examinations – colonoscopy is used to visualize the inner surface of the colon and rectum, and to take a biopsy for histological analysis;
  • Other imaging methods – ultrasound can assess the depth of tumor invasion, while MRI may be used to detect metastases.
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Created with Pixso.
Created with Pixso.

Preoperative Preparation

Before surgery, the patient may undergo:

  • Additional tests, such as ECG, chest X-ray, and functional assessments to evaluate overall health;
  • Bowel cleansing, using laxatives or enemas;
  • Dietary changes – switching to a liquid diet a few days before surgery and fasting 12 hours before the procedure;
  • Medication preparation, which may include antibiotics to reduce infection risk and anticoagulants to prevent blood clots;
  • Consultation with an anesthesiologist;
  • Surgical planning, where the surgeon explains the procedure, risks, possible side effects, and recovery expectations.

Rectal Tumor Removal

Tumor removal at Helyos Clinic involves several key steps:

  • Anesthesia – general anesthesia is administered;
  • Access to the tumor – an abdominal incision (laparotomy) is made or laparoscopy is used;
  • Tumor excision – the tumor is removed along with a portion of healthy tissue to prevent recurrence;
  • Resection and anastomosis – the remaining sections of the intestine are sutured to restore continuity. In some cases, a temporary or permanent colostomy may be required;
  • Lymph node dissection – removal of nearby lymph nodes to prevent cancer spread;
  • Wound closure;
  • Transfer to a recovery room for post-operative monitoring.
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Methods of Rectal Tumor Removal

The choice of surgical method depends on tumor location, size, spread, and the patient’s overall health. At Heyios Medical Center, surgeons specialize in:

  • Laparoscopic anterior resection of the rectum – a minimally invasive procedure involving removal of the cancer and part of the rectum using microinstruments through small incisions. The healthy parts of the rectum and sigmoid colon are then connected;
  • Total proctectomy – used in advanced stages, this procedure involves complete removal of the rectum (with or without the anus);
  • Hartmann's procedure – used when the cancer has spread to other parts of the bowel, this involves a more extensive surgery to address complications such as bowel obstruction.

Recovery After Rectal Cancer Surgery

The rehabilitation period typically lasts from several weeks to a few months, depending on the complexity of the operation and the patient’s condition. In the first few days after surgery, the patient stays in the hospital under medical supervision with vital signs monitored and pain managed. After discharge, it's important to follow dietary guidelines, starting with liquid food and gradually introducing solid meals. Gentle physical activity, such as walking, helps prevent complications and supports muscle recovery. Psychological support may also play an important role in rehabilitation. Regular follow-ups and adherence to medical advice are essential for a full recovery. Overall, recovery may take 6–12 weeks, though in some cases it may take longer.

Benefits of Surgical Treatment at Helyos Clinic

The highly qualified surgeons at Helyos Clinic have many years of experience treating all types of intestinal diseases. The clinic in Dnipro is equipped with state-of-the-art European medical technology and uses innovative methods for accurate diagnostics and effective treatment planning. Each patient receives personalized, comprehensive care aimed at fast recovery and a positive prognosis.

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Prices

Surgeon consultation
800 UAH
Surgeon consultation (Doctor of Medical Sciences)
1100 UAH

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How to prepare for surgery to remove rectal cancer?

Preparation involves several mandatory steps. A few days before surgical treatment of rectal cancer, it is recommended to switch to a light, doctor-recommended diet and increase water intake. As directed by the doctor, blood-thinning medications should be temporarily discontinued. The day before, bowel cleansing is performed using a method determined by the doctor. The operation is performed on an empty stomach: the last meal should be 8–12 hours before surgery. The patient receives detailed preparation recommendations at the pre-operative consultation at Helios Medical Center.

What diagnostic methods for rectal cancer are used?

Diagnosis of rectal cancer begins with a colonoscopy with biopsy. This allows the diagnosis to be verified morphologically. Transrectal ultrasound is used to assess the local spread of the tumor. Computed tomography of the chest and abdominal organs supported by artificial intelligence makes it possible to rule out distant metastases and accurately assess the extent of the process. Laboratory tests, including the CEA tumor marker, complete the picture and serve as a baseline indicator for follow-up monitoring after treatment. All examinations are performed at Helios Medical Center.

How long does recovery after rectal surgery take?

After laparoscopic surgery for rectal cancer, the patient usually stays in hospital for 1–3 days. Full recovery takes an average of 6–12 weeks, depending on the extent of the operation. During the first weeks, a gradual transition from liquid to solid food, limited physical activity, and regular follow-up examinations are recommended. The cost of surgery for rectal cancer and rehabilitation can be clarified at a consultation with an oncological surgeon at Helios Medical Center. Appointments can be made by phone at 067 000 01 50 or through the online form on the website.

Can a stoma be avoided after surgery for rectal cancer?

The need to create a stoma as part of surgery for colon cancer depends on the location of the tumor, the extent of resection, and the condition of the tissues. For tumors in the upper and middle parts of the rectum, a sphincter-preserving operation without bowel stoma can be performed in most cases. For tumors in the lower parts of the rectum, the surgeon often creates a temporary protective stoma as a precaution. In most cases, it is closed after a few months. The oncological surgeon will make the specific decision based on the results of the examination.

What are the survival prognoses for rectal cancer?

The prognosis for rectal cancer is largely determined by the stage of the disease at the time of presentation. According to Yale School of Medicine, when the tumor is detected before it spreads beyond the rectum, the five-year survival rate reaches 89%. With timely diagnosis, rectal cancer responds well to treatment. The oncological surgeons at Helios Medical Center use modern surgical techniques aimed at the most complete removal of the tumor.

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