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Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer

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Single-incision laparoscopically assisted colectomy using standard laparoscopic instrumentation.

Nicholas A Rieger¹, Francis F Lam

¹The Queen Elizabeth Hospital and the University of Adelaide, 11 Woodville Road, Woodville, South Australia 5011, Australia. nrieger@internode.on.net

Surgical Endoscopy

|September 18, 2009

Summary

Transumbilical single-incision laparoscopic colectomy is a feasible minimally invasive surgery for colonic neoplasms. This technique, using conventional instruments, demonstrated safety and efficacy in a small case series.

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

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Published on: January 9, 2026

Area of Science:

Minimally Invasive Surgery
Colorectal Surgery
Surgical Oncology

Background:

Transumbilical single-incision laparoscopic colectomy (SILC) represents an evolution in minimally invasive colorectal surgery.
This case series evaluates the feasibility of SILC using standard laparoscopic instruments.

Purpose of the Study:

To assess the safety and efficacy of transumbilical SILC for colonic neoplasms.
To determine if conventional laparoscopic equipment is sufficient for this procedure.

Main Methods:

A prospective case series of seven patients undergoing transumbilical SILC for colonic neoplasms.
Utilized three conventional laparoscopic trocars inserted through a single umbilical incision.
Intracorporeal mobilization and vessel ligation with extracorporeal anastomosis were performed.

Main Results:

No conversions to multiport laparoscopy or open surgery were required.
Average operating time was 89 minutes with no significant blood loss or complications.
Average hospital stay was 5.4 days, with adequate tumor margins and lymph node yield (15 nodes).

Conclusions:

Transumbilical SILC is a feasible surgical approach for colectomy.
The procedure can be performed effectively using standard laparoscopic instruments without additional cost.
Further research is warranted to validate these findings in larger patient cohorts.