Related Experiment Video
Updated: Feb 2, 2026
05:30
Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
539
Right hemicolectomy: a network meta-analysis comparing open, laparoscopic-assisted, total laparoscopic, and robotic
Emanuele Rausa1, Michael Eamon Kelly2, Emanuele Asti3
1Division of General Surgery, Department of Biomedical Sciences of Health, IRCCS Policlinico San Donato, University of Milan Medical School, San Donato Milanese, Milan, Italy. emarausa@yahoo.it.
Surgical Endoscopy
|November 21, 2018
Summary
Robotic right hemicolectomy (RRH) and total laparoscopic right hemicolectomy (TLRH) show better short-term outcomes than open right hemicolectomy (ORH) and laparoscopic-assisted right hemicolectomy (LRH). Advanced minimally invasive techniques improve patient outcomes despite initial costs and learning curves.
Area of Science:
- Colorectal surgery
- Minimally invasive surgical techniques
- Comparative effectiveness research
Background:
- Surgical management of right-sided colonic neoplasms lacks a universally superior approach.
- Existing methods for right hemicolectomy (RH) include open (ORH), laparoscopic-assisted (LRH), total laparoscopic (TLRH), and robotic (RRH).
Purpose of the Study:
- To compare surgical outcomes and perioperative morbidity and mortality among ORH, LRH, TLRH, and RRH.
- To identify the most effective minimally invasive approach for right-sided colonic neoplasms.
Main Methods:
- A systematic electronic search was conducted across PubMed, EMBASE, and Web of Science.
- Included studies comprised 48 publications (5 RCTs, 25 retrospective, 18 prospective) involving 5652 patients.
Main Results:
- Robotic right hemicolectomy (RRH) and total laparoscopic right hemicolectomy (TLRH) demonstrated comparable overall complication rates.
- Anastomotic leak rates were higher with laparoscopic-assisted right hemicolectomy (LRH) and open right hemicolectomy (ORH) compared to RRH.
- Open right hemicolectomy (ORH) showed a significantly higher risk of reoperation compared to TLRH, and LRH had a longer hospital stay than RRH.
Conclusions:
- Short-term outcomes for robotic right hemicolectomy (RRH) and total laparoscopic right hemicolectomy (TLRH) are superior to standard laparoscopic-assisted right hemicolectomy (LRH) and open right hemicolectomy (ORH).
- Adoption of advanced minimally invasive techniques, despite potential costs and learning curves, ultimately enhances patient outcomes in right-sided colonic surgery.
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