Comparative study of totally laparoscopic right hemicolectomy versus laparoscopic-assisted right hemicolectomy for the treatment of right-sided colonic cancer

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Abstract

Introduction
Colorectal carcinoma is one of the leading reasons of cancer-related deaths all over the world. Our study was designed for comparing the surgical outcomes of totally laparoscopic resection of colon (TLRC) with intracorporeal anastomosis and laparoscopic-assisted colectomies (LARC) with extracorporeal anastomosis for cases of colonic cancer.
Patients and methods
A total of 42 patients had been selected and were subjected to elective surgery for colonic cancer and were prospectively evaluated. A total of 21 patients had been treated by TLRC and the other 21 patients had been treated by LARC.
Results
Reported data for both techniques showed significant superiority in TLRC when compared with LARC regarding the incidence of postoperative pain, timing of first defecation, hospital stay, and incidence of wound-related complications.
Conclusion
TLRC is a safe and feasible technique, which had been resulted in an encouraging short-term outcome, low incidence of major complications, and preservation of oncological principles, without affection of operative times.

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