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Updated: Dec 7, 2025
Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
Single-dermatome single-incision laparoscopic right hemicolectomy
Benjamin Storey1, Jie Zhao1,2, Tien Chern2,3
1Faculty of Medicine, The University of Newcastle, Newcastle, New South Wales, Australia.
Insights
A new single-incision laparoscopy technique for right hemicolectomy offers potential benefits like reduced pain and hernia risk. This minimally invasive approach requires further validation for clinical use.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Traditional laparoscopy involves multiple incisions.
- Single-incision laparoscopy aims to reduce surgical trauma.
- Right hemicolectomy is a common colorectal procedure.
Purpose of the Study:
- To describe a novel single-incision laparoscopy right hemicolectomy technique.
- To evaluate the potential benefits of this new approach compared to standard methods.
Main Methods:
- A single-dermatomal, muscle-splitting approach was utilized.
- A 4-cm incision was made between the right anterior superior iliac spine and pubic tubercle.
- The technique was applied for right hemicolectomy procedures.
Main Results:
- The described technique facilitates single-incision right hemicolectomy.
- Potential benefits include reduced post-operative pain and opioid use.
- Lower risk of incisional hernia and improved cosmesis are anticipated.
Conclusions:
- This novel technique presents a promising alternative for right hemicolectomy.
- Further validation is necessary to confirm its superiority and benefits.
- The approach may enhance patient outcomes and recovery.
Abstract:
We describe a novel single-incision laparoscopy right hemicolectomy technique using a single-dermatomal, muscle-splitting approach through a 4-cm incision located between the right anterior superior iliac spine and pubic tubercle. This new technique may be superior to traditional single-incision laparoscopy colectomy with the potential benefits of less post-operative pain, lower opioid requirements, lower risk of incisional hernia and better cosmesis but requires further validation.
