A colectomy procedure to remove the large intestine from the ileum (lowest part of the small intestine) and sew the end of the small intestine to the rectum is called Total Colectomy. It is performed if the patient is suffering from severe bleeding, bowel obstruction, colon cancer, Crohn’s disease, ulcerative colitis, diverticulitis, or total colectomy to prevent cancer in the future. In the Laparoscopic approach, small incisions are made in the abdominal wall and a thin scope with lens and light is inserted, along with other surgical instruments through the small incisions. In the open approach, longer cuts are made to access the colon. In both cases, the entire colon is taken out.