Exploring the benefits of minimally invasive surgery for colorectal disorders

May 25, 2026

Less pain after surgery. Decreased scarring. Shorter recovery time.

These are just three benefits of the minimally invasive approach to surgery: an option we implement at Alabama Colon and Rectal Institute whenever it is the best choice for our patients. 

Minimally invasive surgery (MIS) typically refers to both laparoscopic and robotic surgery. It involves specialized techniques that use smaller incisions and instruments to improve visualization during the procedure. Minimally invasive techniques can be used for many surgical needs, including those related to the gallbladder and intestine, as well as the colon and rectum. 

Laparoscopic surgery vs. robotic surgery for colorectal cancer

These modern surgical techniques include laparoscopy, one of the earliest minimally invasive approaches, performed through one or more small incisions using small tubes, cameras, and surgical instruments to allow easy internal viewing of the human body. Our surgeons provide both traditional laparoscopic and robotic surgical options for our patients. While both operations are considered minimally invasive, there are some differences.

In traditional laparoscopic surgery, small incisions are made by the surgeon, and the camera is held by a medical professional. The instruments are directly controlled by the physician.

In robotic surgery, the camera and instruments are moved by robotic arms through small incisions and are controlled by the surgeon sitting at a console in the room, allowing for greater precision and control. Control over the instruments and visualization can be superior with robotic surgery.

More about robotic surgery as a minimally invasive approach

Robotic surgery is the best technology from a visualization standpoint, particularly when we are performing difficult work. More involved surgeries require the absolute best range of motion possible. The robotic instruments are known as “wristed,” meaning that they rotate in a 360-degree pattern. Our hand and wrist can only rotate in a 210-degree motion, so the robotic arm can twist ergonomically in a way a human wrist cannot. 

We use robotics for any abdominal surgery that requires a resection. This would include many cancer surgeries, plus abdominal surgery for diverticulitis, Crohn’s disease, or ulcerative colitis. 

One thing we would like to clear up is that while some people think a robot will perform their surgery, this is not the case at all. The robot is always in the hands of the surgeon. It does not operate independently or do any maneuvers that the surgeon is not performing. We are always in control of what’s happening, but we are utilizing the benefits of the robot to help us with that visualization and range of motion that is so important.

What to expect with minimally invasive surgery

It’s important to understand that surgery is different for every patient, so each person’s experience may vary. Keeping that in mind, here are some things the average patient should expect with minimally invasive surgery at Alabama Colon and Rectal Institute:

• Minimally invasive surgery most often requires general anesthesia. This means patients should plan not to drive after surgery.
• Tissue may be removed for biopsy and to document potential health issues.
• Most patients undergoing minimally invasive colon surgery will require one to three nights in the hospital. (With more traditional surgery, this time would likely be closer to a week.)
• Patients receive instructions on how best to prepare for the surgery, including a bowel prep kit that is often necessary before the operation.
• There is often much less postoperative pain after MIS, and many patients can manage it with over-the-counter medications, which means a shorter hospital stay and quicker recovery. This also potentially results in fewer long-term risks than traditional open surgery.
• By using much smaller incisions around the surgical site, chances for hernias and obstructions related to scar tissue or adhesions are drastically reduced, and the cosmetic result is often favorable, with scars becoming barely visible within about three months.

These approaches to minimally invasive surgery are great examples of how improved and new technology is a huge benefit for surgery. Taking a laparoscopic or robotic approach is a very effective way to handle colorectal surgeries, and we are so thankful to be able to provide these services to our patients.

Commonly Asked Questions:

What are the early signs of colorectal cancer in women?

Early signs can be easy to dismiss because they often look like common digestive issues. These may include ongoing changes in bowel habits (like constipation or diarrhea), blood in the stool, persistent bloating, unexplained fatigue, abdominal discomfort, or unintentional weight loss. The key concern is when symptoms don’t go away or keep coming back over time.

Why is colorectal cancer sometimes detected later in women?

In many women, early symptoms are mistaken for things like menstrual changes, hemorrhoids, stress, or IBS. This can delay medical attention. Because of this overlap, symptoms may not seem urgent at first, which is why awareness and routine screening are especially important.

At what age should women start screening for colorectal cancer?

Most average-risk adults, including women, are advised to begin screening around age 45. However, earlier screening may be recommended if there is a family history of colorectal cancer, certain genetic conditions, or long-term inflammatory bowel disease.

What screening tests are commonly used?

The most common screening methods include colonoscopy, stool-based tests that check for hidden blood or abnormal DNA, and, in some cases, imaging-based tests. Colonoscopy is considered the most comprehensive because it can detect and remove polyps during the same procedure.

When should someone see a doctor about symptoms?

If symptoms like rectal bleeding, ongoing changes in bowel habits, or unexplained abdominal pain last more than a few weeks, it’s important to get checked. Even if symptoms seem mild, persistence is what makes evaluation necessary rather than waiting for them to worsen.

Alabama Colon & Rectal Institute is centered around treating diseases of the colon, rectum, and anus.

Alabama Colon & Rectal Institute (also known as the “Butt Hutt” around town!) has been in practice since 1990 as a free-standing, private practice located in downtown Birmingham, Alabama.  We are known for our efficiency and patient care in a more relaxed office-based setting.  Our doctors are known regionally for their expertise and are active in teaching surgical residents and other physicians.  We are also a major sponsor of The Rumpshaker 5K, a race that promotes awareness about colorectal cancer.  Check out our website for more information, or give us a call to make an appointment at (205) 850-1830, or email us at info@acripc.com.