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Updated: Jun 22, 2026

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

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23-hour-stay laparoscopic colectomy.

B F Levy¹, M J P Scott, W J Fawcett

¹Department of Surgery, Minimal Access Therapy Training Unit, Post Graduate Medical School, University of Surrey, Guildford, Surrey, United Kingdom. brucelevy22@hotmail.com

Diseases of the Colon and Rectum

|July 3, 2009

Summary

A 23-hour hospital stay for laparoscopic colectomy is safe and acceptable for patients. This enhanced recovery pathway allows for rapid discharge with no complications or readmissions.

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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Published on: March 24, 2023

Area of Science:

Colorectal Surgery
Enhanced Recovery Programs
Minimally Invasive Surgery

Background:

Enhanced recovery programs (ERP) combined with laparoscopic colorectal surgery have led to shorter hospital stays.
Assessing the feasibility of an ultra-short, 23-hour hospital stay protocol is crucial for optimizing patient recovery pathways.

Purpose of the Study:

To evaluate the safety and patient acceptability of a 23-hour hospital stay protocol for laparoscopic colectomy.
To determine if modifications to enhanced recovery programs can support same-day discharge after colectomy.

Main Methods:

Prospective study involving patients undergoing elective laparoscopic colorectal resection.
Implementation of a specific preoperative, anesthetic, and postoperative protocol.
Discharge at 23 hours post-surgery with telephone and outpatient follow-up.

Main Results:

All ten participating patients were discharged within 23 hours.
No complications or hospital readmissions were reported.
All patients expressed satisfaction and willingness to repeat the pathway.

Conclusions:

A 23-hour hospital stay following laparoscopic colectomy is feasible with adjusted enhanced recovery protocols.
The protocol is safe and acceptable to patients, indicating potential for widespread adoption.