EVALUATION OF TECHNICAL ASPECTS OF ILEOCOLIC ANASTOMOSIS IN TOTALLY LAPAROSCOPIC RIGHT HEMICOLECTOMY FOR COLON CANCER
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Abstract
Objectives: To evaluate the technical aspects of ileocolic anastomosis in a totally laparoscopic right hemicolectomy for colon cancer. Methods: A retrospective and prospective, descriptive study was conducted on 66 patients with right-sided colon cancer who underwent a totally laparoscopic right hemicolectomy with intracorporeal ileocolic anastomosis at Military Hospital 103 from January 2020 to July 2025. Results: The mean operative time was 123.8 ± 43.1 minutes, with an average anastomosis time of 14.9 ± 4.0 minutes and closure time of 9.8 ± 2.4 minutes. All patients received a side-to-side anastomosis; 86.4% of cases used a 60mm stapler, and 13.6% used a 45mm stapler. Additional suturing at the stapler line was required in 3% of cases. The mean intraoperative blood loss was 21.8 ± 11.8mL. No cases of conversion to open surgery or intraoperative complications related to the anastomosis were recorded. Postoperative complications included ileocolic anastomotic bleeding (3%) and wound infection (1.5%). No mortality was observed. Conclusion: Totally laparoscopic right hemicolectomy with intracorporeal ileocolic anastomosis is feasible and safe.
Keywords
Colon cancer, Laparoscopy, Right hemicolectomy, Ileocolic anastomosis
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References
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