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Updated: Jun 11, 2026
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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
Single-incision laparoscopic surgery for right hemicolectomy: our initial experience with 10 cases
1Department of Colorectal Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore. markwongtc@gmail.com
Techniques in Coloproctology
|July 1, 2010
Summary
Single-incision laparoscopic surgery (SILS) for right hemicolectomy is feasible and safe in this case series. Further large-scale trials are needed before recommending SILS for malignant disease.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Laparoscopic colorectal surgery is oncologically safe and effective.
- Single-incision laparoscopic surgery (SILS) is a recent innovation in minimally invasive techniques.
- This study evaluates the feasibility and short-term outcomes of SILS for right hemicolectomy.
Purpose of the Study:
- To assess the feasibility and favorable short-term results of single-incision laparoscopic surgery (SILS) for right hemicolectomy.
- To reaffirm the safety and efficacy of SILS in a series of 10 cases.
- To provide preliminary data supporting the use of SILS in specific colorectal procedures.
Main Methods:
- Ten patients underwent SILS for right hemicolectomy using a single periumbilical incision.
- Inclusion criteria included no prior abdominal surgery, sepsis, distant metastases, and BMI <30.
- Data collected encompassed patient demographics, surgical details, and postoperative outcomes.
Main Results:
- All 10 SILS right hemicolectomies were successfully completed.
- Median patient age was 64 years, with a median BMI of 21.5 kg/m².
- Median operative time was 83 minutes, and median hospital stay was 6 days, with no reported morbidity or mortality.
Conclusions:
- Single-incision laparoscopic surgery (SILS) for right hemicolectomy is demonstrated as feasible and safe.
- The technique showed favorable short-term outcomes in this case series.
- Routine use in malignant disease requires further investigation through large-scale prospective trials.
