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Updated: Mar 17, 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
281
Incisional hernias after laparoscopic and robotic right colectomy
Summary
Incisional hernias occur frequently after minimally invasive right colectomies (RC). Laparoscopic and robotic approaches show similar rates of incisional hernias, highlighting an opportunity to improve patient quality of life.
Area of Science:
- Colorectal Surgery
- Surgical Complications
- Minimally Invasive Surgery
Background:
- Incisional hernia (IH) is a significant complication following colectomy, impacting patient quality of life and healthcare resource utilization.
- The incidence of IH after minimally invasive colectomy is not well-established.
- Minimally invasive colectomy includes both laparoscopic and robotic approaches.
Purpose of the Study:
- To determine the incidence of incisional hernias after minimally invasive right colectomies (RC).
- To compare incisional hernia rates between laparoscopic right colectomy (L-RC) and robotic right colectomy (R-RC).
Main Methods:
- Retrospective review of patients undergoing minimally invasive RC for colonic neoplasia (2009-2014).
- Exclusion criteria included prior colectomy or intraperitoneal chemotherapy.
- Incidence of IH was assessed via clinical examination or CT, with time-to-event analyses performed.
Main Results:
- 276 patients were analyzed: 207 L-RC and 69 R-RC.
- Overall IH rates were similar: 17.4% for R-RC and 22.2% for L-RC.
- Former or current tobacco use was the only significant predictor of IH (HR 3.0, p=0.03).
Conclusions:
- Minimally invasive colectomy is associated with a high incidence of incisional hernias.
- Laparoscopic and robotic right colectomies demonstrate comparable rates of incisional hernia formation.
- Reducing IH incidence is crucial for enhancing patient quality of life and decreasing healthcare costs.
