Intracorporeal anastomosis versus extracorporeal anastomosis after laparoscopic right hemicolectomy for colon cancer: morbidity comparison at long-term follow-up

Safety and efficacy of totally minimally invasive right colectomy in the obese patients: a multicenter propensity score-matched analysis

“…Minimally invasive right hemicolectomy can be considered nowadays as the gold standard procedure for the treatment of right colon cancer [ 9 , 12 , 13 ]. As known, after right colectomy the anastomosis could be performed in two different ways: in a totally intracorporeal way (totally laparoscopic intracorporeal right colectomy or laparoscopic right colectomy with intracorporeal anastomosis) or in a laparoscopic-assisted way (laparoscopic-assisted right colectomy or laparoscopic right colectomy with extracorporeal anastomosis).…”

“…Furthermore, several studies have demonstrated the superiority of the intracorporeal anastomosis over the extracorporeal reconstruction, in terms of safety and efficacy [ 7 – 13 ]. Similarly, several meta-analyses have shown that intracorporeal anastomosis is associated with similar postoperative outcomes over extracorporeal approach, but with significantly faster recovery, in terms of length of stay and bowel movements [ 6 , 25 – 31 ].…”

“…In the setting of right colon cancer, totally minimally invasive approach should be considered the preferred way to perform right hemicolectomy [ 6 – 8 ]. In this setting, several reports have demonstrated the superiority of this approach in comparison with extracorporeal anastomosis, in terms of postoperative complications and recovery outcomes [ 7 – 13 ]. Despite the well-known benefits of the minimally invasive approach, less is known about its feasibility and advantages in certain conditions, such as in morbid obese patients [ 14 – 16 ].…”