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Single-incision laparoscopic right hemicolectomy.

A Keshava1, C J Young, S Mackenzie

  • 1Colorectal Surgical Department, Concord Hospital, Hospital Road, Concord, New South Wales, Australia. anilkeshava@gmail.com

The British Journal of Surgery
|September 28, 2010
PubMed
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Single-incision laparoscopic surgery offers a minimally invasive approach for right colonic resection. This technique demonstrated feasibility and safety in a series of procedures, with good patient outcomes.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Presents results from a prospective series of single-incision laparoscopic right hemicolectomy procedures.
  • Highlights the growing interest in minimally invasive techniques for colonic resections.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of single-incision laparoscopic right hemicolectomy.
  • To assess the safety and efficacy of this approach in a consecutive patient series.

Main Methods:

  • A single-incision laparoscopic technique was used for right colonic resections between February and December 2009.
  • Surgical outcomes were prospectively recorded in a dedicated database.
  • Twenty-two consecutive procedures were analyzed.

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Last Updated: Jun 8, 2026

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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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Main Results:

  • All 22 patients survived the 30-day postoperative period.
  • The median hospital stay was 5 days, with morbidity observed in six patients.
  • Pathological findings included adenocarcinoma (13), adenoma (5), carcinoid (2), Crohn's disease (1), and lipoma (1).
  • Surgical margins were clear in all cases, with a median lymph node harvest of 17 for cancer patients.

Conclusions:

  • Single-incision laparoscopic surgery is a viable option for right colonic resection.
  • This approach offers potential benefits associated with minimally invasive surgery.
  • Further research may explore its long-term oncological and functional outcomes.