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Related Experiment Video

Updated: Jul 18, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Are transverse colon cancers suitable for laparoscopic resection?

Christopher M Schlachta¹, Joseph Mamazza, Eric C Poulin

¹CSTAR (Canadian Surgical Technologies & Advanced Robotics), London Health Sciences Centre and Lawson Health Research Institute, University of Western Ontario, London, Ontario, Canada. christopher.schlachta@c-star.ca

Surgical Endoscopy

|November 15, 2006

Summary

Laparoscopic surgery for transverse colon cancer (TC) is feasible, showing similar oncologic outcomes and complication rates to other colon cancer surgeries. Operating times were longer for TC, but lymph node harvest was higher.

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Published on: July 25, 2025

Area of Science:

Colorectal Surgery
Surgical Oncology
Minimally Invasive Surgery

Background:

Large randomized trials on laparoscopic vs. open colon surgery for cancer excluded transverse colon cancer (TC) patients.
This study reviews surgical experience with curable TC.

Purpose of the Study:

To evaluate the outcomes of laparoscopic surgery for transverse colon cancer (TC).
To compare TC outcomes with outcomes of segmental colon resections for other colon cancers (OC).

Main Methods:

Reviewed 938 laparoscopic colon resections (April 1991-September 2004).
Excluded Stage IV disease, mid-low rectal cancers, and total colectomies.
Compared outcomes for 22 TC resections versus 285 OC resections on an intent-to-treat basis.

Main Results:

No significant differences in conversion rates (18.2% vs. 13.3%) or complication rates (intraoperative: 9% vs. 8%; postoperative: 41% vs. 30%).
Operating time was longer for TC (209 min vs. 176 min), but lymph node harvest was higher (15.3 vs. 10.8).
Recurrence rates were similar (9% for TC vs. 6% for OC) at median follow-up of 17.2 months.

Conclusions:

Laparoscopic resection of transverse colon cancer is technically feasible.
It is not associated with significantly higher complication or conversion rates compared to other colon cancers.
Oncologic outcomes are not impaired, though operating time is longer.