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Laparoscopic Right Hemicolectomy with Isoperistaltic Intracorporeal Anastomosis

Authors: David Schwartzberg, Noah Cohen, Jordan Schwartzberg, Paresh C. Shah

Oncologic outcomes of laparoscopic and open colectomy have been demonstrated to be equivalent, with similar three-year disease-free survival and overall survival rates for any stage. Compared to patients who undergo open colectomy, patients who undergo laparoscopic colectomy benefit from a shorter median length of hospital stay and decreased post-operative use of pain medication. Intraoperative and post-operative complications are similar between open and laparoscopic colectomy.
 
A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer. The Clinical Outcomes of Surgical Therapy Study Group. N Engl J Med 2004;350:2050-9
 
DOI: https://doi.org/10.17797/fdschc17au

Laparoscopic right colectomy
Right-sided colon and appendiceal neoplasms, colonoscopically unresectable polyps, ileocolic Crohn�s disease, cecal volvulus, right-sided diverticulitis
Any contraindication to laparoscopy
Supine, left arm tucked
Colonoscopy, cross-sectional abdominopelvic imaging, and routine preoperative lab work including carcinoembryonic antigen (CEA)
Right ureter, duodenum, ileocolic pedicle, right colic artery, and right branch of middle colic arteries
Laparoscopic advantages include less post-operative pain and shorter length of stay
General concerns of bleeding, infection, anastomotic leak, and damage to nearby organs, with operative-specific injuries to the ureter, duodenum, liver, and contents of the hepatoduodenal ligament
General concerns of bleeding, infection, anastomotic leak, and damage to nearby organs, with operative-specific injuries to the ureter, duodenum, liver, and contents of the hepatoduodenal ligament
NYU Langone Medical Center
A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer. The Clinical Outcomes of Surgical Therapy Study Group. N Engl J Med 2004;350:2050-9.

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