Short-Term Clinical Outcomes Following Elective Laparoscopic Right Hemicolectomy for Right Sided Colon Cancer

Abstract

Introduction: Laparoscopic right hemicolectomy has become the preferred surgical approach for the treatment of right-sided colon cancer because it provides adequate oncological resection while offering the advantages of minimally invasive surgery. Previous studies have demonstrated reduced postoperative pain, earlier return of bowel function, fewer surgical site infections, shorter hospital stays, and comparable oncological outcomes compared with open surgery.

Methods: This retrospective study was conducted in the Department of Surgical Gastroenterology at Bir Hospital. A total of 43 patients who underwent elective laparoscopic right hemicolectomy for right-sided colon cancer between January 2022 and April 2026 were included. Demographic characteristics, operative details, postoperative complications, and recovery outcomes were analyzed. The primary outcomes were short-term postoperative outcomes, including complications, return of bowel function, and length of hospital stay. Secondary outcomes included operative time, estimated blood loss, lymph node yield, and 30-day mortality.

Results: A total of 43 patients underwent laparoscopic right hemicolectomy during the study period. The mean age was 47 ± 15.51 years, with a male predominance (58.1%). The mean operative time was 260.22 ± 23.14 minutes, and the mean estimated blood loss was 170.45 ± 15.6 mL. The average lymph node yield was 18.23 ± 3.2. Postoperative complications occurred in 11 patients (25.6%), with surgical site infection being the most common complication. There was no 30-day mortality.

Conclusion: Laparoscopic right hemicolectomy is feasible and oncologically sound surgical approach for the treatment of right-sided colon cancer. It is associated with minimal morbidity, early postoperative recovery, shorter hospital stay, and adequate lymph node harvest.