Rectal cancer surgery

Hi everyone,

Thought I'd post my latest update in this topic area as oppose to tagging it on to my thread in the 'Introduce Yourself' area.

I saw the Colorectal surgeon today for the results of my scans and the next step with regard to surgery.

He told me that the radiotherapy and chemotherapy hadn't shrunk the tumour as much as he'd have liked, but sufficiently to still operate.

An added complication was the fact that the scan also showed that I have a tennis ball sized fibroid in my uterus, which will hinder the surgery, so I will have to have a hysterectomy too ; gynaecologist in first, colorectal surgeon next - like a tag team! ( I may sound flippant, but I am struggling a bit with all this!)

Also have to have my cervix removed and top end of my other lady bits! (Sorry to the men reading this!) (Scan showed I also have gall stones and cysts on my liver! But these are not a problem!)

I listened to the list of 'parts' the surgeon said he was going to remove, wondering if there'd be much of me left!

I looked down at my body and said " It's amazing how much is going on in there!" Bear in mind I'm the size of Kylie Minogue! He did say I made his job easier by being so slender!

He'll take out a section of lower bowel and join it to the the section of rectum that will remain after he's taken the tumour out of there!

I'll have an ileostomy (as correctly predicted by Beaker) which may or may not be reversible in a few months time. And I may need more chemo after surgery; this depends on the pathology report on the section of bowel that will be removed.

So . . . We're now planning a 'pre-op' holiday (the hospital have kindly organised a pre-op assessment for tomorrow so that we can go anytime between now and the operation on September 17th.)

Another 'bright side' moment; when I was diagnosed and had my treatments, my lovely colleagues wanted to do something to support me other than the usual flowers and cards. so they have organised a sponsored walk to raise money for the local cancer hospital where I had my radio/chemo and it's due to take place on September 15th, and I'll be able to go along and add my support!

So many positives, but still can't help feeling a bit all over the place! All aboard the cancer roller coaster eh?

Hope everyone else is ok?

Love to all, Meerkat xx

  • Hi Jo,

    Still thinking of you and hoping all is going well. Look forward to hearing from you.

    Annabel. xx

  • Hi everyone!!

    Thank you all so much for your kind messages.

    Well, I can't believe it's only 8 days since my surgery. I actually came home yesterday (Tues) but wanted to settle back into home before logging into to see how my virtual friends are doing!

    As you know, I went for my op last Tuesday and arrived at the hospital on time. . . And would you believe, there was no post-op bed on the critical care unit available!! Rather than cancel the operation, my surgeon and the anaesthetist, took the calculated risk that as I was young, fit and healthy they would go ahead with the op and I would be on hourly observations on a general ward . . . Good call!!

    It was a rather bizarre situation when I met the anaesthetist; I knew her personally, and had taught her kids! However, it made me feel more comfortable and confident about the whole thing (though I could see how 'knowing' your medical team, could be a bit weird for some patients!)

    I awoke after the 6 hour op to the news that the surgery had been very successful with more evidence of tumour shrinkage since the scans a few weeks ago! I'd still had the anticipated hysterectomy, but my other 'lady bits' were left intact as the tumour had reduced sufficiently in these areas to leave a good margin.

    It took me a few days to get up and about, partly because I was attached to an epidural drip and catheter, but slowly, as the days have gone on, I've grown stronger and more confident.

    My surgeon is really pleased with my progress; I think it's a combination of good pre-op management (high protein diet, energy drinks etc) excellent surgical intervention (I love my surgeon!!) and lastly, my dogged determination to beat this b****y disease! (Excuse language!)

    Other than family, I've not told anyone I'm home yet as I do tire easily! (A shower and hair drying session wiped me out this morning!) So visitors are being strictly vetted . . . Especially the exhuberant ones (and some of my friends and colleagues are a little exhuberant to put it mildly! As much as I love them!)

    I'm learning to love my stoma . . . I thought the stoma nurse was going to pass out with excitement when she first saw it! According to her it's a 'text book' stoma. A little longer spout than usual, but she has assured me this has more advantages than disadvantages. (Another poor lady on the ward had a stoma that had gone back inside so was harder for her to manage so her hospital stay was much extended! Poor love!)

    I'm finding out what foods affect 'Stumpy' (yep, I've named him!) and hot chocolate at bedtime is a definite no, no! He had the ward up all night with his 'singing'!!

    A girl on the ward asked if she could have a look at my ileostomy so I treated her to 'stoma care workshop' Wherever I go, the teacher in me just has to come out! It actually empowered me to do it in front of someone and helped her as she's likely to need one and to see something first hand, is better than pictures in pamphlets!

    My partner, who is usually a very squeamish guy, has been so supportive and watched me change my bag this morning. He didn't run away and was more fascinated by the technology of the bags!

    So, apart from a visit from the District Nurse today, I'm pretty much 'Medic' free until next week when I go to clinic for the biopsy results. I had forgotten about this stage (marshmallow brain!) and I'm trying to live in the moment before worrying about the results. But if I have to have more chemo, then so be it!

    I've got this far by listening to the professionals and doing what I'm told, so a bit more of the same isn't going to harm me!

    I intend to catch up with your stories/threads over the next few days, and hopefully post some individual responses to you all, though a quick glance shows that you're all still out there being your lovely, supportive selves!

    It's great to be back! I've missed you all!

    Much love, Jo xxx

  • Hi Jo,

    Welcome back and I'm so please everything went so well for you. won't post  much at the moment but just to say we have all been thinking of you

    Take care, best wishes for a full and speedy recovery, Brian

  • WELCOME BACK JO!!!!!

    I am thrilled for you that the operation went so well and that you are back in the comfort of your own home - well as comfortable as you can be anyway.

    What a good decision it was to go ahead even though there was no pre-op bed available, so often all kinds of operations are cancelled at the last minute through lack of beds. Also that it turned out you knew the anaesthetist was an added bonus although any that I have met have always been good at putting the patient at ease.

    Keep up the good work and you must let us know how it goes next week.

    Best wishes to you.

    Garf. x

  • Hi Jo glad you are recovering well.  I'm sure you'll cope very well with your new friend Stumpy.  Hopefully he's just a temporary one!  I know it will be hard not to worry about the biopsy results but just take it easy and look after yourself.  If you need any help or have any stoma related queries I will help if I can (even though I didn't have one myself I was totally involved in helping my husband with his....).  May the good recovery continue.xxx

  • Hi Meerkat,  Great to have you back. I'm so glad you actually got the operation as planned and that is was so successful.  You sound so upbeat and that is sure to aid your recovery.  Now just make sure that the pampering package we talked about is in place and make sure you take things easy.   Hope x

  • Hi Jo,

    It was so lovely to read your long post yesterday, sorry I didn't have time to reply last night.

    You really have done well and I pray that your recovery continues with such speed and vigour.

    Niccola who also had surgey(tongue base cancer was also wondering how you are) has also seemingly done well.

    It is always great when we have such positive news and positive outcomes.

    I hope you didn't overdo it with your long post yesterday but look forward to hearing from you again.

    best wishes

    Annabel.xx

  • Hi Jo,

    It's so lovely to hear from you! I'm so pleased your operation went so well and you sound so positive and happy, that's amazing! I like that stumpy has a name! I named my wheelie stand in hospital that had to come everywhere with me as I was attached to a feeding tube etc, it was called Squeaky Stan!

    Glad to hear your operation wasn't cancelled at the last minute, I had a similar situation too where they thought there was no intensive care bed for me but finally one became available, phew! They obviously thought you would recover well, to decide to go ahead as they did. To have it cancelled would have been crushing news.

    I completely understand about you saying you're feeling so tired. Others really don't understand how visitors wipes us out after major surgery, it has surprised me too. I'm now limiting myself to one visitor per day and that's enough but you sound like me, and that you are listening to what the professionals say about rest and how to aid your own recovery.

    I'm finding it a bit strange now, as I feel like a small fish in a big pond now I'm out of hospital, I just have to see my regular GP and district nurse where as before all of the hospital staff knew what I had been through and were on tap for help. It was a little scary at first. But only 8 days following your op you sound as though you are coping both physically and mentally.  Well done! The bags must take some getting used to but you speak so light heartedly about it all and news that your tumour had shrank even more must have been news well received.mI'm very pleased for you that everything is going so well.

    Enjoy your rest, watch plenty of TV and read lots of books and only you can be the judge of when you are up to visitors etc. it's time to be a little selfish! I hope recovery continues to go well and I hope that your meeting next Monday or Wednesday is good news for you.

    Speak soon,

    Nicola xx

  • Good afternoon, lovely virtual friends!

    I hope the sun has been shining on you today!

    Thought I'd drop a quick update on progress, while it's still fresh in my mind.

    I saw the consultant today for the lymph node biopsy results. He started off by saying that he had removed ALL the tumour and was satisfied that he'd left healthy margins around the tumour site. The pathology report showed that cancer cells were evident in one lymph node and as a result I am going to need some chemotherapy treatment! I think it's a case of 'Belt and Braces' and he did ask whether I wanted the chemo or not. He said it reduced the risk of the cancer coming back. . . .though obviously, nothing is guaranteed! It didn't take too much thinking about and I've said I want to go ahead with it.

    He also booked me in for a further MRI scan to 'plot' the cysts on my liver. These were apparent on my previous scans and were not a cause of concern, but he wanted to get a baseline assessment of them so that they can be monitored for change in the future.

    So, I'm now back under the care of the specialist cancer hospital and I'll wait to hear from them about the type of chemo they feel suits me best and a start date. The surgeon has said to expect a slight wait as they will give me time to heal and recover a bit more, before hitting me with the drugs with a likely cycle of 6 months. He did say he can't reverse my stoma until the chemo has finished, so Stumpy is with me for a good while yet!

    Beaker, do you have any knowledge in this area? e.g. Time scales, drug type like tablets or infusions? No pressure to respond.

    I was half expecting this outcome and really, if the surgeon had said "you don't need chemo,"  I think I may have been anxious that there were some stray  cancer cells lurking about! Poor doc was in a no win situation with me!

    Quick message to Annabel (as I don't want to cadge a lift on anyone else's thread) and you're hard to keep up with young lady!!! Hehe!

    Annabel, I hope you have a fantastic stay with your daughter and new granddaughter, Ava, this week. Beautiful name, by the way! Enjoy every minute!

    Will chat again soon, take care,

    Best wishes to all, Jo xx

  • Hi Jo,

    Glad you got the pathology results back now and there is some positive news about the margins.  Obviously zero affected lymph nodes would be ideal but only 1 affected is better than a lot!

    Anyway regarding your question, due to my husbands complications, he never actually had any "proper" chemo apart from capcetibine during radiotherapy. From what I understand, six months is the standard time though there was a trial recently looking at whether 3 months was just as effective as 6. There are two main regimes - one with oxaliplatin as the main drug and one with ironitecan (don't think my spelling is right here!). Each has its own side effects.  These two main types are usually combined with a few other drugs.  I think they will be infusion based.  Hope that helps - I'm sure you'll get lots of info once you have your onc appointment.  Hope the recovery continues apace and you start chemo soon - sooner it starts the sooner it's over!xxx