EVALUATION OF EARLY OUTCOMES OF TOTALLY LAPAROSCOPIC RIGHT HEMICOLECTOMY FOR RIGHT-SIDED COLON CARCINOMA AT MILITARY HOSPITAL 103
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Abstract
Objectives: To evaluate the short-term outcomes of totally laparoscopic right hemicolectomy for the treatment of right-side colon carcinoma. Methods: A descriptive study was conducted on 65 patients diagnosed with right-side colon carcinoma who underwent a totally laparoscopic right hemicolectomy at Military Hospital 103 from January 2020 to October 2025. Results: The mean patient age was 61.86 ± 14.30 years, and 60.0% were male. Stages II and III comprised 73.85% of cases. The mean operative time was 137.85 ± 26.93 minutes, and the mean intraoperative blood loss was 26.85 ± 6.65mL. All patients underwent side-to-side intracorporeal anastomosis using a linear stapler, with no intraoperative complications. The mean specimen extraction incision length was 4.74 ± 0.87cm. Postoperative pain severity increased with incision length, with a statistically significant association (p = 0.009). The mean time to first flatus was 3.63 ± 0.91 days, and the mean postoperative hospital stay was 8.21 ± 0.96 days. Postoperative complications occurred in 4.62% of cases, consisting of surgical site infection (3.08%) and anastomotic bleeding (1.54%), all of which were mild. There was no significant association between complication rates and stapler type, stapler size, or method of enterotomy closure (p > 0.05). Conclusion: Totally laparoscopic right hemicolectomy is a safe and effective surgical technique that promotes early postoperative recovery.
Keywords
Totally laparoscopic right hemicolectomy, Right-sided colon carcinoma, Early outcomes
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References
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