Minimally Invasive Colorectal Clinic

Dr. Galliano is Colorectal Surgery Board Certified

Laparoscopic colon cancer surgery can enable patients to return to their normal activities faster and with less discomfort than traditional procedures.


Robotic Surgery

Dr. Galliano is director of Robotic Surgery, Robotic Surgeryusing the da Vinci System, a state-of-the-art surgical platform with 3D, high-definition vision and patented surgical instruments that takes surgery beyond the limits of the human hand.

By overcoming the challenges of traditional open and laparoscopic surgery, da Vinci is changing the experience of surgery for people around the world.


Local Colon Cancer Symptoms

Local colon cancer symptoms affect your bathroom habits, your health, and the colon itself. gastro

Some of the more common local symptoms of colon cancer include:

  • Changes in your bowel habits, such as bowel movements that are either more or less frequent than normal
  • Constipation (difficulty having a bowel movement or straining to have a bowel movement)
  • Diarrhea (loose or watery stools)Intermittent (alternating) constipation and diarrhea Bright red or dark red blood in your stools or black, dark colored stools
  • Stools that are thinner than normal ("pencil stools") or feeling as if you cannot empty your bowels completely Abdominal (midsection) discomfort, bloating, frequent gas pains, or cramps

Systemic Colon Cancer Symptoms

Systemic colon cancer symptoms are those that affect your whole body, such as weight loss, and include:

  • Unintentional weight loss (losing weight when not dieting or trying to lose weight) surgeon
  • Loss of appetite
  • Unexplained fatigue (extreme tiredness)
  • Nausea or vomiting
  • Anemia (low red blood cell count or low iron in your red blood cells)
  • Jaundice (yellow color to the skin and whites of the eyes)
  • If any of these symptoms occur, call to make an appointment.

Laparoscopic - assisted colectomy

This approach to removing part of the colon and nearby lymph nodes may be an option for some earlier stage cancers. Instead of making one long incision in the abdomen, the surgeon makes several smaller incisions. Special long instruments are inserted through these incisions to remove part of the colon and lymph nodes. One of the instruments has a small video camera on the end, which allows the surgeon to see inside the abdomen. Once the diseased part of the colon has been freed, one of the incisions is made larger to allow for its removal.

Because the incisions are smaller than with a standard colectomy, patients may recover slightly faster and have less pain than they do after standard colon surgery.

Laparoscopic-assisted surgery is as likely to be curative as the standard approach for colon cancers. But the surgery requires special expertise. If you are considering this approach, be sure to look for a skilled surgeon who has done a lot of these operations.


Rectal surgery

Surgery is usually the main treatment for rectal cancer, although radiation and chemotherapy will often be given before or after surgery. Several surgical methods are used for removing or destroying rectal cancers.

Polypectomy and local excision:

These procedures, described in the colon surgery section, can be used to remove superficial cancers or polyps. They are done with instruments inserted through the anus, without making a surgical opening in the skin of the abdomen.

Local transanal resection (full thickness resection):

As with polypectomy and local excision, local transanal resection is done with instruments inserted through the anus, without making an opening in the skin of the abdomen. This operation involves cutting through all layers of the rectum to remove cancer as well as some surrounding normal rectal tissue. This procedure can be used to remove some stage I rectal cancers that are relatively small and not too far from the anus.

Transanal endoscopic microsurgery (TEM):

This operation can sometimes be used for early stage cancers that are higher in the rectum than could be reached using the standard transanal resection (see above). A specially designed microscope is placed through the anus, allowing the surgeon to do a transanal resection with great precision and accuracy. This operation is only done at certain centers, as it requires special equipment and surgeons with special training and experience.

Low anterior resection:

Some stage I rectal cancers and most stage II or III cancers in the upper third of the rectum (close to where it connects with the colon) can be removed by low anterior resection. In this operation the tumor is removed without affecting the anus. After low anterior resection, your colon will be attached to the remaining part of the rectum and you will move your bowels in the usual way.

A low anterior resection is like most abdominal operations. You will most likely be instructed to take laxatives and enemas before surgery to completely clean out the intestines. Just before surgery, you will be given general anesthesia, which puts you into a deep sleep. The surgeon makes an incision in the abdomen. Then the surgeon removes the cancer and a margin of normal tissue on either side of the cancer, along with nearby lymph nodes and a large amount of fatty and fibrous tissue around the rectum. The colon is then reattached to the rectum that is remaining so that a permanent colostomy is not necessary.

If radiation and chemotherapy have been given before surgery, it is common for a temporary ileostomy to be made (where the last part of the small intestine -- the ileum -- is brought out through a hole in the abdominal wall). Usually this can be closed about 8 weeks later.


 

Anorectal Conditions

Anal warts
Hemorroids
Fissures
Perirectal Abscesses
Anal Fistulas


Inflamatory Bowel Disease

Chronic ulcerative colitis
Crohn's disease
Ilealanal pouch (Ulcerative colitis)


Diverticulitis


Colonic Neoplasms (Tumors)

Colon and rectal cancer
Follow up evaluations
Polyps
Familial polyposis
TEM (Transanal Endoscopic Microsurgery)
Laperoscopic Surgery


Endoscopy of the Colon
and Rectum

Rigid/flexible igmoidoscopy
Colonoscopy
Endoscopic polypectomy


Intestinal and Anorectal Physiology for management of:

Anal incontinence
Constipation
Diarreah
Rectal Prolapse
Anal rectal manometry
Defecography
Pudental nerve latency
Anal EMG
Anal pelvic rehabilitation
SECCA
Bulbocavernosus reflex System Testing


Irritable Bowel Syndrome (IBS)


Ostomy Care


Pilodinal Cyst


Laparoscopic Colectomy


Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties! He has performed over 100 DaVinci Robotic procedures!


Minimally Invasive Procedures

Experience less pain, minimal scarring, faster recovery, and better results.


Robotic Surgery
via Da Vinci


Laparoscopic Surgery


FENIX for Accidental Bowel Leakage (ABL)


TEM Transanal Endoscopic Microsurgery


NOSCAR/ NOTES Painless Natural Orifice Trans-endoscopic Surgery


Solesta is a sterile gel injected into the anus to treat the symptoms of fecal incontinence.


Esophyx long-term incisionless solution for chronic acid reflux GERD


The LINX System stops acid reflux (GERD) at the source.


The Stretta procedure results in significant GERD symptom control and patient satisfaction.


STARR Staple Transanal Rectal Resection


ENTERRA -- Gastric Electrical Stimulation for Gatroparesis


Barrx - Radiofrequency Ablation in Barrett's Esophagus with Dysplasia


TIF Transoral Incisionless Fundoplication procedure corrects the root cause of GERD


ABS - Artificial Bowel Sphincter


SECCA - for incontinence


Sacral Nerve Stimulation


Anorectoplasty for anal incontinence


Pelvic rehabilitation for incontinence and constipation, anal / pelvic pain


Anal Fistula Plug