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Related Experiment Video

Updated: May 14, 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 access laparoscopic right hemicolectomy.

Umberto Bracale¹, Srdjan Mijatovic, Fabrizio Lazzara

¹General and Mini-Invasive Surgical Unit, "San Camillo" Hospital, Trento, Italy.

Acta Chirurgica Iugoslavica

|February 5, 2013

Summary

This summary is machine-generated.

Single Access Laparoscopic Colectomy (SALC) for right colectomy is a safe and feasible approach. This technique utilizes an extracorporeal anastomosis, potentially overcoming challenges associated with intracorporeal anastomosis in standard laparoscopic procedures.

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Area of Science:

Minimally Invasive Surgery
Gastrointestinal Surgery
Surgical Innovation

Background:

Single Access Laparoscopic Colectomy (SALC) is an evolving surgical technique.
Previous studies have reported on SALC, with the first single-access laparoscopic right colectomy described by Remzi et al.
The feasibility of intracorporeal anastomosis in SALC remains a challenge.

Purpose of the Study:

To describe the authors' experience and approach to Single Access Laparoscopic Right Colectomy (SALC).
To highlight the use of an extracorporeal side-to-side anastomosis in SALC.
To discuss the limitations and potential of SALC in clinical practice.

Main Methods:

The study details the authors' specific technique for performing SALC, focusing on right colectomy.
A key methodological aspect is the performance of an extracorporeal side-to-side anastomosis.
This approach is contrasted with the intracorporeal anastomosis typically used in conventional laparoscopic right colectomy.

Main Results:

The authors report their experience with SALC for right colectomy.
Their approach involves an extracorporeal side-to-side anastomosis, differing from conventional intracorporeal methods.
The difficulty of performing a safe intracorporeal anastomosis is identified as a significant limitation of the standard SALC approach.

Conclusions:

Single Access Laparoscopic Right Colectomy (SALC) is considered a safe and feasible surgical option.
The use of an extracorporeal anastomosis may address challenges associated with intracorporeal techniques.
Widespread adoption requires further establishment of technological, economic, and educational aspects.