Short Term Outcomes of Laparoscopic Right Hemicolectomy with Complete Mesocolic Excision for Right Colon Cancer

Document Type : Original Article

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General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446520

Abstract

Background: More than half a million people die each year from colorectal adenocarcinoma, making it one of the most frequent cancers in the world. The right hemicolon is involved in around 40% of these tumors.
Aim and objectives: To assess the efficacy of right colon cancer laparoscopic hemicolectomy with total mesocolic excision.
Subjects and methods: Following clearance from the research ethics committee of the Al-Azhar Faculty of Medicine, this prospective study was carried out from February 2023 to February 2025 on 40 patients with operable right colon cancer at the General Surgery Department of Al-Azhar University Hospitals. Every single patient who took part in the trial gave their informed consent. 
Results: During the operation, there was a statistically significant difference in the amount of time it took to complete the anastomosis and reconstruction processes (p<0.001), as well as the amount of time it took to complete the operation overall compared to the open group (p<0.001). In cases where it was deemed necessary, US was used to conduct bedside imaging to closely monitor all clinical and laboratory indicators during the postoperative period. In terms of the first day of motion, when to start oral intake, and length of hospital stay, the laparoscopic group outperformed the open group (p=0.017, 0.017, and 0.004 correspondingly) .
Conclusion: There are several benefits to doing a right hemicolectomy using a laparoscopic technique rather than an open one. These include a more favourable postoperative course and better pathological outcome. The problem of lengthy operating times can be mitigated with experience; after a certain number of procedures, the surgeon will have mastered the art and will need less time in the operating room.

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