Colorectal cancer surgery

Colorectal cancer surgery in Singapore, by an experienced specialist.

A bowel cancer diagnosis is frightening, but it is also one of the most treatable cancers when handled by an experienced colorectal surgeon. Dr Daniel Lee performs colon and rectal cancer surgery, including keyhole (laparoscopic) operations where they are the safer choice, and brings deep experience to advanced and recurrent cases. Most patients do not end up with a permanent stoma, and the goal, from the very first consultation, is to get your life back to normal.

How the surgery works
Mount Elizabeth Novena  ·  Mount Alvernia  ·  Parkway East  ·  Gleneagles  ·  Farrer Park
Dr Daniel Lee in the operating theatre, colorectal cancer surgery in Singapore
20+Years in surgery
FRCS (Edinburgh)
Fellow, Royal College of Surgeons of Edinburgh
Fellowship, Leeds
Colorectal fellowship, John Goligher Unit, St James's University Hospital
Ex-Head, KTPH
Former Head of Colorectal Surgery and Surgical Lead, Geriatric Surgery
Faculty, NUS
Adjunct Senior Clinical Lecturer, NUS and Lee Kong Chian School of Medicine
Illustration of the colon and rectum for colorectal cancer surgery in Singapore
What the surgery involves

Removing the cancer, and as little else as possible.

Colorectal cancer surgery removes the part of the bowel that contains the tumour, along with the nearby lymph nodes, and then rejoins the healthy ends so the bowel keeps working. The aim is always to remove the cancer completely while preserving as much normal function as possible. How it is done depends on where the cancer is, how advanced it is, and your overall health.

Wherever it is the safer choice, Dr Lee uses keyhole (laparoscopic) techniques, which mean smaller cuts, less pain, and a quicker recovery than open surgery. For some early rectal tumours, the cancer can be removed through the back passage without any abdominal cut at all. Every plan is matched to your specific situation, not a one-size-fits-all approach.

Keyhole (laparoscopic) resection

Removing the affected segment of colon or rectum through several small cuts, which usually means less pain and a faster recovery than open surgery, where it is suitable.

TAMIS for early rectal tumours

For selected early rectal cancers, the tumour can be removed through the back passage using minimally invasive transanal surgery, with no abdominal incision.

Colonic stenting

When a tumour is blocking the bowel, a stent can relieve the obstruction, either to settle things before planned surgery or to ease symptoms.

Advanced and recurrent disease

Dr Lee's Leeds fellowship and public-sector leadership bring real depth to complex, advanced, and recurrent rectal cancer, the cases that benefit most from a senior surgeon.

When surgery is needed

When surgery is the right step, and what comes first.

Surgery is usually recommended once a colonoscopy and scans confirm a cancer that can be removed. Before anything is scheduled, Dr Lee explains what was found, what the operation involves, and what recovery will look like, so you are never left guessing. For rectal cancer in particular, some patients benefit from treatment before surgery, which is planned together with the wider cancer team.

  • A colonoscopy has confirmed a bowel cancer that can be removed
  • Scans have shown the cancer's location and stage
  • A blockage from a tumour needs to be relieved
  • An early rectal tumour is suitable for minimally invasive removal
  • Advanced or recurrent disease needs an experienced surgeon
About a stoma bag

Most patients do not end up with a permanent stoma.

The fear of a permanent stoma bag is one of the most common worries, and for most people it does not happen. In many operations the bowel is simply rejoined. When a temporary stoma is needed to let a join heal, it is usually reversed later. When a permanent stoma genuinely is the safest option, Dr Lee explains exactly why, well before the day, so it is never a surprise.

Dr Daniel Lee in surgical scrubs before colorectal cancer surgery in Singapore
The operation

Keyhole where possible, planned around your recovery.

Where it is the safer choice, the operation is done by keyhole surgery, through several small cuts, using a camera and fine instruments. This usually means less pain, a shorter hospital stay, and a quicker return to normal life than open surgery. For some early rectal cancers, the tumour is removed through the back passage with no abdominal cut at all.

Recovery is planned from the very start. As the former Surgical Lead for Geriatric Surgery, Dr Lee builds the plan around getting you moving, eating, and home as safely and as soon as possible, with the wider cancer team involved where chemotherapy or radiotherapy is part of your care.

  • Keyhole (laparoscopic) surgery where it is the safer choice
  • Minimally invasive transanal removal for selected early rectal tumours
  • Recovery planned from the outset to get you home sooner
  • Coordinated with the wider cancer care team where needed
Surgery in older patients

A surgeon who built care around older patients.

For an elderly parent, the questions are different. Is the operation safe at their age? How quickly will they recover? As the former Surgical Lead for Geriatric Surgery at Khoo Teck Puat Hospital, Dr Lee developed assessment and recovery pathways designed around older patients, and co-authored a 2024 review in the Journal of Gastrointestinal Surgery on how surgeon-led geriatric care drives good outcomes in older patients undergoing colorectal cancer surgery.

For families weighing up surgery for a parent, that experience is the difference between a procedure and a recovery. More about Dr Lee's background and approach.

Dr Daniel Lee in surgical scrubs during a geriatric consultation
Recovery

A recovery planned around getting back to normal.

Moving early

Getting up and moving soon after surgery is one of the most important parts of recovery. The team supports you through those first days, and keyhole surgery makes them more comfortable.

Eating and home

Most patients are eating and back home within days of keyhole surgery, with clear instructions and a number to reach the team if anything worries you.

Follow-up and the bigger picture

What was removed is sent for testing, and Dr Lee explains the results and any further treatment plainly, coordinating with the wider cancer team so nothing falls through the cracks.

Fees & MediSave

Clear guidance on cost, MediSave and insurance.

Cancer surgery is individualised, so the cost depends on the exact operation, whether it is keyhole or open, the hospital, and the length of stay. As a public guide, the Ministry of Health publishes surgeon-fee benchmarks. The figures below are the MOH surgeon-fee benchmark with GST, for the common bowel-resection operations. The anaesthetist fee and the hospital or facility fee are charged separately and are a significant part of the total. Your exact fee is explained clearly at consultation, before anything is scheduled.

Type of operationMOH surgeon fee benchmark (with GST)
Hemicolectomy (right or left colon)SF803CSGD 12,317 to 17,658
Sigmoid or transverse colectomySF806CSGD 12,317 to 17,658
Total colectomySF712CSGD 13,080 to 19,620

These are published surgeon-fee benchmarks, before MediSave and insurance. Cancer surgery is typically MediSave claimable, and inpatient surgery is usually covered under Integrated Shield Plans, so most insured patients pay much less out of pocket than the full bill suggests. The team works through your likely cost and your coverage with you before anything is scheduled.

Surgeon fee benchmark only. The anaesthetist fee (about SGD 2,616 to 3,815 with GST) and the hospital fee (room, facility, consumables and length of stay) are charged separately and vary by hospital and ward. Cancer surgery is individualised; the figures above are a public guide, not a quotation.

MediSave

Use what you are entitled to

Cancer surgery is typically MediSave claimable, subject to the withdrawal limits set for the procedure. We help you apply it correctly.

Integrated Shield

Often covered by your plan

Inpatient cancer surgery is usually covered under Integrated Shield Plans. We help you understand what your plan covers before anything is scheduled.

Paperwork

We handle the claim

The team assists with the forms and liaises with your insurer where possible, so you can focus on your treatment and recovery.

Fee benchmark figures are the Ministry of Health (Singapore) surgeon-fee benchmarks (procedures SF803C, SF806C, SF712C), with GST, and are a public guide, not a quotation.

Common questions

Colorectal cancer surgery in Singapore, answered plainly.

Will I need a permanent stoma bag?
Most patients do not. In many operations the bowel is rejoined during the same surgery. Sometimes a temporary stoma is needed to let the join heal and is reversed later. A permanent stoma is only recommended when it is genuinely the safest option, and Dr Lee explains exactly why well before the day.
Is keyhole (laparoscopic) surgery better than open surgery?
Where it is suitable, keyhole surgery usually means smaller cuts, less pain, a shorter hospital stay, and a quicker recovery. Not every cancer can be removed this way, and safety always comes first. Dr Lee will tell you honestly which approach is right for your situation.
How long is the recovery after bowel cancer surgery?
Many patients who have keyhole surgery are home within a few days and back to normal activities over the following weeks. Open surgery and more complex operations take longer. Dr Lee plans your recovery from the outset and sets clear expectations for your case.
Will I need chemotherapy as well?
It depends on the stage of the cancer found at surgery. Some patients need no further treatment, while others benefit from chemotherapy or, for rectal cancer, treatment before surgery. Dr Lee coordinates this with the wider cancer team so your care is joined up.
Will MediSave or my insurance cover it?
Cancer surgery is typically MediSave claimable, and inpatient surgery is usually covered under Integrated Shield Plans. The team helps you understand your coverage and assists with the claim before anything is scheduled.
I am arranging this for an elderly parent. Is surgery safe?
Older patients benefit from careful assessment and a recovery plan built around their wider health. Dr Lee led geriatric surgical care in the public sector and co-authored research on good outcomes in older patients having colorectal cancer surgery, and brings that same considered approach here.
Where Dr Lee operates

Surgery and consultations across five private hospitals.

Mount Elizabeth NovenaSpecialist Centre, #10-48/4938 Irrawaddy Road, Singapore 329563
Mount AlverniaMedical Centre, Block D #08-62820 Thomson Road, Singapore 574623
Parkway EastMedical Centre, #05-08319 Joo Chiat Place, Singapore 427989
GleneaglesMedical Centre, #06-166 Napier Road, Singapore 258499
Connexion, Farrer ParkFarrer Park Medical Centre, #14-121 Farrer Park Station Road, Singapore 217562
Next steps

A short message is enough to begin.

Whether the consultation is for you or a family member, send a note with your name, number and what you are facing. Dr Lee's team will reply on WhatsApp and arrange a time and location that suits you.