Combined versus conventional approaches in laparoscopic radical right hemicolectomy: a retrospective analysis.

Objective: This study aimed to investigate the efficacy and safety of laparoscopic-assisted radical surgery for right hemicolonic cancer with a combined approach.

Methods: We conducted a retrospective review of clinical data from 102 patients who underwent laparoscopic-assisted radical right hemicolectomy for right hemicolonic cancer at the Department of General Surgery, Zhujiang Hospital, Southern Medical University, between January 2021 and September 2023. All patients received preoperative diagnoses of right hemicolonic cancer via CT and e-colonoscopy. Patients were categorized into two groups based on the surgical approach: the combined approach group (n = 51) and the traditional approach group (n = 51). Perioperative outcomes and follow-up data were compared between the two groups.

Results: A total of 102 patients were included in the statistical criteria. Comparison of baseline data between the two groups showed no statistically significant differences (all p > 0.05). Compared with the traditional access group, the surgical stem-oriented combined access group had a shorter operative time [(180.69 ± 47.484) min vs. (226.18 ± 45.884) min, t = - 4.920, p < 0.001] and less intraoperative blood loss [(89.71 ± 79.350) ml vs. (149.31 ± 104.633) ml. Z = - 3.370, p = 0.001.

Conclusions: Surgical stem-oriented modified combined approach laparoscopic radical right hemicolectomy for right hemicolonic cancer is safe and feasible and has the advantages of low surgical difficulty, shortened operative time, reduced intraoperative bleeding, and accelerated postoperative recovery. In addition, the combined approach may be more agreeable for beginners to master, and the procedure may be easier to promote and popularize.

Trial Registration: ClinicalTrials.gov (2024-KY-026-01).