Outcomes of Laparoscopic Right Hemicolectomy with Intra-corporeal versus Extracorporeal Ileocolic Anastomosis for the Treatment of Right-Sided Colonic Cancer | ||
| International Journal of Health Sciences (Egypt) | ||
| Articles in Press, Accepted Manuscript, Available Online from 10 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijhegy.2025.426509.1075 | ||
| Authors | ||
| Abdelbaset Mohamed elsayed; Khaled Mohamed Amin Elsayed* ; Pola Nagy Wassef; mohamed Abozid | ||
| General Surgery Department, Faculty of Medicine, Zagazig University Hospitals, El-Sharkia, Egypt | ||
| Abstract | ||
| Background: Colorectal carcinoma (CRC) incidence and mortality rates vary markedly around the world. Globally, CRC is the third most common cancer in men and the second most common in women. Objectives: The present work aimed to improve the outcomes of patients with right-sided colonic cancers undergoing Laparoscopic right hemicolectomy. Subjects and methods: This prospective, randomized, single-blind, and single-center clinical trial involved 36 patients with right cancer colon undergoing laparoscopic right hemicolectomy, they were divided equally into two groups: Group A underwent Laparoscopic right hemicolectomy with extra-corporeal anastomosis. Group B underwent Laparoscopic right hemicolectomy with intra-corporeal anastomosis Results: There was a significant difference between the two groups regarding the type of incision. There was no significant difference between the two groups regarding histopathological reports except for the length of the ileocolic resected specimen as the ECA group had a longer length of ileocolic resected specimen when compared with the ICA group. There was no significant difference between the two groups regarding follow-up time, incisional hernia, survival, recurrence and late postoperative outcomes. Conclusion: Intracorporeal anastomosis has many advantages over extracorporeal anastomosis as shorter hospital stays with less morbidity, less postoperative pain, and lower incidence of superficial surgical wound infection. | ||
| Keywords | ||
| Keywords: Right Side Cancer Colon; Laparoscopic Hemicolectomy; Intra-corporeal Anastomosis; Extra-corporeal Anastomosis; Postoperative outcomes | ||
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