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Updated: Jul 14, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
Laparoscopic hand-assisted extended right hemicolectomy for cancer management
1Department of Surgery, Nepean Hospital, P.O. Box 63, Penrith, NSW 2751, Australia. chewsi@wahs.nsw.gov.au
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Laparoscopic extended right hemicolectomy for cancer management is an uncommon operation because it is difficult to divide the middle colic vessels laparoscopically in an oncologic resection. Furthermore, some surgeons believe a left hemicolectomy is an adequate alternative. This study aimed to evaluate the feasibility of performing a laparoscopic hand-assisted extended right hemicolectomy for cancer located between the distal transverse colon and the proximal descending colon. The technique was described and demonstrated with a video presentation. The clinical outcome was recorded for four consecutive patients.
Electronic Supplementary Material:
The online version of this article (doi: 10.1007/s00464-006-9128-1) contains supplementary material, which is available to authorized users.

