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Review
. 2020 Jul 18;4(5):521-527.
doi: 10.1002/ags3.12373. eCollection 2020 Sep.

Current status and trend of laparoscopic right hemicolectomy for colon cancer

Takeru Matsuda  1   2 , Kimihiro Yamashita  1 , Hiroshi Hasegawa  1 , Masako Utsumi  1 , Yoshihiro Kakeji  1
Affiliations
Review

Current status and trend of laparoscopic right hemicolectomy for colon cancer

Takeru Matsuda et al. Ann Gastroenterol Surg. .

Abstract

Laparoscopic right hemicolectomy (LRH) is utilized worldwide as one of the standard surgical treatments for right-sided colon cancer. However, there have been issues concerning its applicability, techniques, and trend. The present study aimed to elucidate the current status and trend of LRH by reviewing literature focusing on important issues associated with this surgery. Based on previous studies, LRH most likely provides better short-term outcomes and similar oncological outcomes compared to open surgery. Despite the increasing use of robotic approach in this surgery, it seems to have always been associated with longer operative times and greater hospital cost with limited advantage. Intracorporeal anastomosis seems to improve short-term outcomes, such as quicker recovery of bowel function, compared to extracorporeal anastomosis. However, it does not contribute to shorter hospital stay. With regard to dissection technique, various approaches, and landmarks have been advocated to overcome the technical difficulty in LRH. This difficulty is likely to be caused by anatomical variation, especially in venous structures. The superiority of one approach or landmark over another is still argued about due to the lack of large-scale prospective studies. However, deep understanding both of anatomical variation and characteristics of each approach would be of extreme importance to minimize adverse effects and maximize patient benefit after LRH.

Keywords: colon cancer; laparoscopic right hemicolectomy; open surgery; robotic surgery.

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Approaches in laparoscopic right hemicolectomy. A, A lateral‐to‐medial approach. B, A medial‐to‐lateral approach. C, A cranial‐to‐caudal approach. GTH, gastrocolic trunk of Henle; ICA, ileocolic artery; ICV, ileocolic vein; MCA, middle colic artery; MCV, middle colic vein; RGEV, right gastroepiploic vein; SMA, superior mesenteric artery; SMV, superior mesenteric vein; SRCV, superior right colic vein
See this image and copyright information in PMC

References

    1. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc. 1991;1(3):144–50. - PubMed
    1. Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J, Haglind E, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long‐term outcome of a randomised clinical trial. Lancet Oncol. 2009;10(1):44–52. - PubMed
    1. Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM, et al. Short‐term endpoints of conventional versus laparoscopic‐assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365(9472):1718–26. - PubMed
    1. Jayne DG, Guillou PJ, Thorpe H, Quirke P, Copeland J, Smith AM, et al. Randomized trial of laparoscopic‐assisted resection of colorectal carcinoma: 3‐year results of the UK MRC CLASICC Trial Group. J Clin Oncol. 2007;25(21):3061–8. - PubMed
    1. Leung KL, Kwok SP, Lam SC, Lee JF, Yiu RY, Ng SS, et al. Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial. Lancet. 2004;363(9416):1187–92. - PubMed