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Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
Laparoscopic approach for small bowel tumors
David Ka Kin Tsui1, Chung Ngai Tang, Joe P Ha
1Department of Surgery, Pamela Youde Eastern Nethersole Hospital, Chai Wan, Hong Kong, SAR, China. drkktsui@yahoo.com.hk
Aim:
To review the outcome of laparoscopic small bowel resections as compared with open resection for small bowel tumors.
Method:
Retrospective review comparing total laparoscopic to open resections for small bowel tumors from October 1998 to July 2005 in a single centre.
Results:
During the study period, 9 patients underwent laparoscopic resection, whereas 11 patients underwent open small bowel resection. Majority of the patients (75%) suffered from gastrointestinal stromal tumors. Median operative time in both groups was comparable, but the median operative blood loss was significantly less in the laparoscopic group. (5 vs. 165 mL, P=0.005). The amount of oral dologesic used postoperatively was similar, whereas the use of intravenous morphine was significantly less in the laparoscopic group (7.4 vs. 21.3 mg, P=0.007). The median postoperative hospital stay was significantly shorter in the laparoscopic group (7 vs. 12 d, P=0.018). For patients with gastrointestinal stromal tumors, 2 patients (29%) in the laparoscopic group and 3 patients (38%) in the open group had recurrence of disease during follow-up (P=0.573).
Conclusions:
Laparoscopic resection resulted in favorable short-term outcome compared with open resection for small bowel tumors in selected cases. The oncologic outcome is not compromised with this approach.
