چکیده (انگلیسی):

Background and aims: Total laparoscopic surgery is not a new concept, but it is not
preferred generally for right colectomy. The aim of the study is to evaluate the outcomes,
which are related with surgical technique after total laparoscopic right colectomy (TLRC)
and laparoscopic-assisted right colectomy (LARC) for right colon cancer in 30 consecutive
patients.
Materials and methods: Thirty patients with right colon cancer, half of which were treated
with TLRC and half of which were treated with LARC, were compared with regard to patient
demographics, operative and postoperative data, histopathologic findings, follow-up data,
and the complications related to the surgical technique.
Results: There were 16 men and 14 women, median age was 63 years (range 41e86) with a body
mass index (BMI) of 27 kg/m2 (range 20e33). There were no differences between the groups for
BMI, harvested lymph node number, or distal and radial margins. The length of the incision and
the length of the postoperative stay was shorter in the TLRC group (p Z 0.000). Overall complications
were higher in the LARC group than in the TLRC group (p Z 0.014). The median followup
was 28 months (range 5e99). In the late period, two patients in the LARC group were reoperated
on. The cause of reoperation was internal herniation in one patient due to ileal twisting
and incisional hernia in the other one.
Conclusion: Our preliminary data indicate that TLRC could result in better outcomes for right
colon cancer patients than LARC.