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Updated: Jun 7, 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-assisted right hemicolectomy: technique and application (with video)
Chirag B Patel1, Diego I Ramos-Valadez, Madhu Ragupathi
1Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, University of Texas Medical School at Houston, Houston, TX, USA.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|October 27, 2010
Summary
Single-incision laparoscopic surgery (SILS) is a feasible approach for right hemicolectomy, offering potential patient benefits. This minimally invasive technique is suitable for colon surgery, including precancerous polyp management.
Area of Science:
- Minimally Invasive Surgery
- Colorectal Surgery
- Surgical Oncology
Background:
- Single-incision laparoscopic surgery (SILS) is an evolving minimally invasive surgical technique.
- SILS is commonly used for gallbladder and appendix procedures.
- Its application in colorectal surgery, specifically right hemicolectomy, is less widely reported.
Purpose of the Study:
- To describe the feasibility and technique of SILS right hemicolectomy.
- To present a modified single-incision approach for ascending colon polyp management.
- To evaluate SILS as a modality for minimally invasive colon surgery.
Main Methods:
- A modified single-incision laparoscopic right hemicolectomy was performed.
- Three transumbilical trocars were utilized through a single port.
- Standard nonarticulating laparoscopic instruments were employed.
Main Results:
- The SILS right hemicolectomy was successfully completed in 105 minutes.
- The procedure effectively managed a precancerous ascending colon polyp.
- Literature review indicates SILS applicability in colon procedures.
Conclusions:
- Single-incision laparoscopic surgery is a feasible option for right hemicolectomy.
- SILS offers potential benefits for patients undergoing colon surgery.
- This technique represents an advancement in minimally invasive colorectal procedures.
