Related Experiment Video
Updated: May 5, 2026
Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
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.
Insights
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.
Abstract:
Background and Objectives: Laparoscopic procedures have become a routine approach in colorectal surgery. We aimed to evaluate intraoperative, postoperative and pathological outcomes of laparoscopic right hemicolectomy in comparison with open right hemicolectomy. Materials and Methods: We reviewed our database for colorectal surgery and collected data regarding right hemicolectomies performed over a period of 10 years regarding patient characteristics, operative outcomes and postoperative outcomes. We compared laparoscopic with open right hemicolectomies. All the anastomoses in the laparoscopic group were performed intracorporeally. Results: We included 384 cases, 74 (19.3%) laparoscopic and 310 (80.7%) open right hemicolectomies. Baseline characteristics were comparable between the two groups. Conversion rate was low (2.7%). A drain was placed more often in the open colectomies (p < 0.001). Laparoscopic colectomies lasted longer by 25 min on average in the entire cohort (p = 0.002) and by 30 min in cancer-only cases without concomitant procedures (p < 0.001). Laparoscopic procedures yielded more lymph nodes (p = 0.007), as well as longer distal resection margins (p < 0.001) and total specimen (p < 0.001). There was no difference between the two approaches concerning intraoperative complications (p = 0.36) or need for transfusion (p = 0.708). There was also no difference regarding overall (p = 0.361) or major complications (p = 1), as well as anastomotic leak (p = 0.475), surgical site infections (p = 0.275) or readmission rates (p = 1). Hospitalisation duration was shorter by 3 days after laparoscopic surgery in the entire cohort (p < 0.001), as well as when cancer-only cases without concomitant procedures were considered (p < 0.001). Conclusions: Laparoscopic right hemicolectomy with intracorporeal anastomosis provides perioperative safety and pathology outcomes comparable to open surgery, while significantly reducing hospital stay.
