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Updated: Jun 16, 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

Single-incision laparoscopic colectomy: early experience.

Wai-Lun Law¹, Joe K M Fan, Jensen T C Poon

¹Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong.

Diseases of the Colon and Rectum

|February 23, 2010

Summary

This summary is machine-generated.

Single-incision laparoscopic colectomy is a safe new technique for various colorectal conditions. This approach allows for oncologic resection comparable to traditional laparoscopy with minimal incisions.

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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

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Published on: December 4, 2023

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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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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

Area of Science:

Minimally Invasive Surgery
Colorectal Surgery
Surgical Oncology

Background:

Single-incision laparoscopic surgery (SILS) offers reduced incisions.
Application of SILS in colectomy is emerging, with limited case reports.
Evaluating early outcomes of SILS colectomy is crucial.

Purpose of the Study:

To assess the feasibility and early outcomes of single-incision laparoscopic colectomy.
To evaluate the safety and efficacy of SILS for various colorectal pathologies.
To compare SILS colectomy results with established laparoscopic techniques.

Main Methods:

Prospective data collection from 8 patients undergoing SILS colectomy.
Procedures included colectomy for cancer, polyps, and diverticulitis.
Analysis of operative time, blood loss, incision length, and patient outcomes.

Main Results:

Median age of patients was 78 years.
Operations included right colectomy, left colectomy, and anterior resection.
Median operating time was 175 minutes, median blood loss 55 mL, and average incision 3.4 cm.
One conversion to hand-assisted laparoscopy occurred.
Median hospital stay was 3.5 days with one instance of ileus.
No mortality or reintervention within 30 days.
Clear resection margins and adequate lymph node examination in cancer cases.

Conclusions:

Single-incision laparoscopic colectomy is a safe and viable option.
Oncologic resection standards can be met with SILS.
Further comparative studies are needed to validate SILS outcomes against conventional laparoscopy.