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Related Experiment Video

Updated: May 10, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Single-port laparoscopic right hemicolectomy: intermediate results.

Jacob R Hopping1, Ovunc Bardakcioglu

  • 1Department of Surgery, Saint Louis University, St. Louis, MO, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|June 8, 2013
PubMed
Summary

Single-port laparoscopic right hemicolectomy shows promising intermediate-term outcomes, with safety and efficacy comparable to conventional laparoscopic surgery. Further research is needed to confirm these findings in larger patient groups.

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Single-port laparoscopic colectomy (SPLC) emerged in 2008 as a novel colorectal surgical technique.
  • Limited data exists on the intermediate- and long-term outcomes of SPLC.
  • This study presents intermediate results of the initial 20 single-port laparoscopic right hemicolectomies performed by a single surgeon.

Purpose of the Study:

  • To evaluate the intermediate-term outcomes of single-port laparoscopic right hemicolectomy.
  • To assess the safety, efficacy, and oncological results of this minimally invasive approach.
  • To compare outcomes with conventional laparoscopic colectomy.

Main Methods:

  • Twenty consecutive patients underwent single-port laparoscopic right hemicolectomy between February 2009 and September 2010.

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Last Updated: May 10, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
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Published on: January 9, 2026

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  • Exclusion criterion was prior midline laparotomy.
  • Patients were followed for a median of 27 months (range: 15–35 months).
  • Main Results:

    • The cohort had a mean age of 65 years, with 75% having significant comorbidities (ASA class III/IV).
    • Mean estimated blood loss was 25 mL, with 13 lymph nodes retrieved on average.
    • One conversion to hand-assisted, one to open colectomy; 30-day complications included wound infection and C. difficile colitis. No local recurrences or distant metastases were observed at follow-up. Two incisional hernias occurred.

    Conclusions:

    • Single-port laparoscopic right hemicolectomy is a safe procedure for patients eligible for conventional laparoscopic colectomy.
    • Intermediate-term efficacy, safety, and oncological outcomes appear comparable to standard laparoscopic surgery.
    • Larger studies are required to fully ascertain cost-effectiveness, postoperative outcomes, and patient satisfaction.