Related Experiment Video
Updated: Jan 18, 2026
Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer
Published on: July 25, 2025
Laparoscopic Right Colectomy with Intracorporeal Anastomosis Is Associated with Lower Rate of Incisional Hernia
Yehuda Hershkovitz1, Chen Monfred2, Igor Jeroukhimov3
1Trauma Unit, Shamir Medical Center (Assaf Harofeh), Zerifin, Israel, Department of Surgery, Shamir Medical Center (Assaf Harofeh), Zerifin, Israel, Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Background:
Laparoscopic right hemicolectomy is considered the gold standard surgical treatment for patients with right colon malignancies. The restoration of bowel continuity can be performed by intracorporal (ICA) or extracorporal (ECA) techniques.
Objectives:
To evaluate a single-center experience in laparoscopic right colectomy, comparing patients with ICA and ECA.
Methods:
This is a case-control retrospective study included all patients who underwent laparoscopic right colectomy between the years 2016-2022 at our medical center. Patients were divided according to the operative technique. The study database included demographics as well as intraoperative and postoperative parameters.
Results:
Overall, 125 patients were included in the study, which included 98 patients (78.4%) from the ICA group included and 27 patients in the ECA group. Both groups were comparable in demographics and co-morbidities. No significant differences were observed between the groups in intraoperative complications, length of surgery, return to the oral diet, and length of hospital stay. The incidence of postoperative ventral hernia was significantly higher in patients from the ECA group (18.5% vs. 3.1%, P = 0.012).
Conclusions:
Laparoscopic right colectomy with ICA is associated with a lower rate of postoperative ventral hernias.
