I had a total abdominal colectomy with ileo-rectal anastomosis, which is a surgery where they remove all of the colon from the abdominal cavity but leave the rectum and sometimes the very bottom of the sigmoid colon. My surgery was done September 5 of this year with an open incision and I've been back to work for a couple of weeks. My surgeon said that only about 5% of the patients he sees for surgery are candidates for this surgery and I was given this option only because my colitis did not involve the rectum or sigmoid colon. High grade dysplasia was found in the ascending colon after a 28 year history of colitis and after the colon was removed a very small cancerous lesion was found in the same part of the colon. No cancer was found in the lymph nodes so I was told that no chemo is required. If dysplasia or cancer ever shows up in what was left behind I should still be able to have the j-pouch surgery. I will have to be "scoped" at least once a year with biopsies and am still at risk for colon cancer. With the j-pouch surgery I was told that the risk of colon cancer would be virtually eliminated.
I think that most people who have the entire colon remove can have the surgery without a permanent ileostomy by having the j-pouch surgery but there are exceptions.