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Updated: Feb 20, 2026

Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer

Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer

Published on: July 25, 2025

Laparoscopic-assisted radical left hemicolectomy.

Yong Li¹, Jiabin Zheng¹, Deqing Wu¹

¹Department of General Surgery, Guangdong General Hospital, Guangzhou 510080, China.

Journal of Visualized Surgery

|October 28, 2017

Summary

This summary is machine-generated.

Laparoscopic-assisted radical left hemicolectomy (LRLH) is a safe and effective procedure for left colon cancer. Experienced centers can master the technical difficulties of this operation.

Keywords:

Left colonic neoplasm laparoscopy surgical skills

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Last Updated: Feb 20, 2026

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Area of Science:

Laparoscopic surgery
Gastrointestinal oncology
Surgical technique

Background:

Laparoscopic-assisted radical left hemicolectomy (LRLH) presents unique technical challenges compared to other laparoscopic procedures.
Limited published data exists on the specific surgical skills required for LRLH.
Extensive experience in laparoscopic techniques allows for proficient management of LRLH complexities, focusing on vascular anatomy and interfacial planes.

Purpose of the Study:

To share surgical techniques and insights for Laparoscopic-assisted radical left hemicolectomy (LRLH).
To highlight the management of technical difficulties encountered during LRLH based on practical experience.

Main Methods:

A case report of a 34-year-old patient diagnosed with left colonic cancer undergoing LRLH.
Discussion of LRLH surgical techniques informed by the authors' cumulative experience.

Main Results:

The procedure was successfully completed in 80 minutes with minimal blood loss (approximately 30 mL).
The patient experienced a good recovery and was discharged on the 5th postoperative day.

Conclusions:

Laparoscopic-assisted radical left hemicolectomy (LRLH) is a safe and effective option for left-sided colon tumors.
The technical complexity of LRLH necessitates performance in specialized, experienced surgical centers.