BACKGROUND: The use of laparoscopy for right hemicolectomy has gained popularity allowing the option of a totally laparoscopic intracorporeal @entity254 (IA) for intestinal reconstruction. This technique may alleviate some of the technical limitations that a surgeon faces with a laparoscopic-assisted extracorporeal @entity254 (EA). METHODS: A retrospective chart review of 195 consecutive @entity1 who underwent laparoscopic right hemicolectomy by four colorectal surgeons at three institutions from March 2005 to June 2014 was performed. Multivariate regression analysis was used to compare postoperative and oncologic outcomes. RESULTS: A total of 195 @entity1 underwent laparoscopic right hemicolectomy over the study period, with 86 (44  %) @entity1 receiving IA and 109 (56  %) @entity1 receiving an EA. The most common indication for surgery in both groups was @entity5 : 56 (65  %) of IA cases and 57 (52  %) of EA cases. IA had a significantly higher rate of minor complications but no difference in serious complications compared to EA. Conversion to open resection was higher in EA. Using multivariate analysis to compare IA versus EA, there was no significant difference in length of stay, return of bowel function, risk of @entity834 , risk of intraabdominal abscess or risk of wound complications. Amongst @entity5 resections, there was no significant difference in the median number of lymph nodes harvested (18 LNs in IA group vs. 19 LNs in EA group, P  >  0.05). There was also no significant difference in overall survival and disease-free survival at 5.7  years between the two groups. CONCLUSIONS: IA in laparoscopic right hemicolectomy is associated with similar postoperative and oncologic outcomes compared to EA. IA may possess advantages in terms of conversion and flexibility of specimen extraction, but this is counterbalanced by a higher incidence of minor complications. These findings suggest that IA represents a valid technique in the arsenal of the experienced colorectal surgeon without compromising outcomes.

Laparoscopic right hemicolectomy: short- and long-term outcomes of intracorporeal versus extracorporeal XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leak'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer']
@entity254 :: (MESH:C563598,Disease) :: ['anastomosis']
