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Laparoscopic versus open transverse-incision right hemicolectomy: a retrospective comparison study
Claudio F Feo1, Carlo V Feo2, Alessandro Fancellu1
1Unit of General Surgery 2, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy.
ANZ Journal of Surgery
|May 9, 2019
Summary
Laparoscopic right hemicolectomy offers similar oncological outcomes to open surgery but has a higher hernia risk. Short-term benefits remain unclear, necessitating further research for optimal surgical approaches in right-sided colon cancer.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- The optimal surgical strategy for right colon cancer remains debated.
- Laparoscopic and open transverse-incision right hemicolectomy are common approaches.
Purpose of the Study:
- To compare short- and long-term outcomes of laparoscopic versus open transverse-incision right hemicolectomy for colon cancer.
Main Methods:
- Retrospective review of 99 adult patients with right-side colon cancer.
- Comparison of laparoscopic (n=49) and open transverse-incision (n=50) right hemicolectomy.
- Analysis of patient characteristics, operative details, and post-operative recovery.
Main Results:
- Laparoscopic surgery had a longer operating time but harvested more lymph nodes.
- No significant difference in overall survival was observed.
- Higher incidence of incisional hernia in the laparoscopic group (24.5% vs. 0%).
Conclusions:
- Laparoscopic right hemicolectomy provides comparable oncological radicality to open surgery.
- Short-term functional benefits of the laparoscopic approach are not yet clearly established.
- Further randomized controlled trials are needed to clarify the comparison for right-sided colon cancers.
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