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Comparison Between Laparoscopic and Open Right Hemicolectomy Outcomes: A Single-Centre Analysis.
Vasiliki Garantzioti1, Ioannis D Kostakis1, George Theofanis1
1Department of Surgery, University Hospital of Patras, Faculty of Medicine, University of Patras, 26504 Patras, Greece.
Medicina (Kaunas, Lithuania)
|May 4, 2026
Summary
Laparoscopic right hemicolectomy is safe and effective, offering comparable pathological outcomes to open surgery. This minimally invasive approach significantly reduces hospital stays for patients undergoing colorectal procedures.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic surgery is increasingly standard in colorectal procedures.
- Right hemicolectomy is a common colorectal surgery.
- Comparing laparoscopic and open approaches is crucial for optimizing patient care.
Purpose of the Study:
- To compare intraoperative, postoperative, and pathological outcomes of laparoscopic right hemicolectomy versus open right hemicolectomy.
- To evaluate the safety and efficacy of laparoscopic right hemicolectomy with intracorporeal anastomosis.
- To assess the impact of surgical approach on patient recovery and oncological parameters.
Main Methods:
- A retrospective review of a colorectal surgery database.
- Inclusion of 384 right hemicolectomies performed over 10 years.
- Comparison of laparoscopic (n=74) and open (n=310) colectomies, with all laparoscopic anastomoses performed intracorporeally.
Main Results:
- Laparoscopic colectomies had longer operative times but yielded more lymph nodes and longer resection margins.
- No significant differences were observed in intraoperative complications, transfusion needs, or overall/major complications, including anastomotic leaks and surgical site infections.
- Hospitalization duration was reduced by 3 days in the laparoscopic group.
Conclusions:
- Laparoscopic right hemicolectomy with intracorporeal anastomosis is perioperatively safe.
- Pathological outcomes are comparable to open surgery.
- Laparoscopic approach significantly reduces hospital stay, enhancing patient recovery.
