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Updated: Sep 11, 2025

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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
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Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer
Renli Huang1, Peiqi Wang1, Yue Cao1
1Department of General Surgery, Zhujiang Hospital, The Second School of Clinical Medicine, Southern Medical University.
Journal of Visualized Experiments : Jove
|August 11, 2025
Summary
Surgical Trunk-oriented Laparoscopic Right Hemicolectomy (ST-LRH) offers a standardized approach for colon cancer surgery. This method improves anatomical clarity and reduces bleeding, aiding surgeons and improving patient outcomes.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Laparoscopic right hemicolectomy for colon cancer faces challenges like unclear dissection and bleeding.
- Vascular variations and complex anatomy increase operative difficulty.
Purpose of the Study:
- To introduce and demonstrate the Surgical Trunk-oriented Laparoscopic Right Hemicolectomy (ST-LRH) approach.
- To evaluate the safety and efficacy of ST-LRH in treating ascending colon cancer.
Main Methods:
- The study details the steps of the ST-LRH procedure.
- A case report of a 67-year-old male with ascending colon cancer treated with ST-LRH is presented.
Main Results:
- The ST-LRH procedure was successfully performed in 125 minutes with minimal blood loss (20 mL).
- The patient experienced no postoperative complications and was discharged within 7 days.
- ST-LRH provided clearer exposure of surgical trunk and Henle trunk vasculature.
Conclusions:
- ST-LRH enhances anatomical visualization and procedural safety in laparoscopic right hemicolectomy.
- The standardized nature of ST-LRH facilitates wider adoption and reduces the learning curve for surgeons.
- This approach is effective for radical resection of right-sided colon cancer.

