Background:The selection of intracorporeal anastomosis (ICA) versus extracorporeal anastomosis (ECA) after laparoscopic right hemi-colectomy remains a debatable issue. We aimed to compare the early and late outcomes between the two different technical groups (ECA versus ICA) utilizing the propensity score matching analysis. Methods: For the period from January 2013 to June 2023, we studied 90 consecutive patients who undertook laparoscopic right hemicolectomies. We classified them into ICA and ECA groups. Propensity score matching analysis was done, after which 21 patients were included in each group. Results: The ICA group had greater operative time, but quicker recovery time, with shorter length of stay and less time to first motion. They also tolerated a soft diet faster and had slightly fewer postoperative complications. No inter-group differences were noted in mortality and readmission rates. The 1-, 3-, 5-years overall survival (OS) for ECA group were 100%, 100%, and 83.3% respectively. The 1-, 3-, 5-years OS for ICA group were 100%, 80%, 80% respectively (p=0.575). The 1-, 3-, 5-years disease free survival (DFS) for ECA group were 88.9%, 74.1% and 74.1% respectively. The 1-, 3-, 5-years disease free survival for ICA group were 94. 7%, 86.1%, 86.1% respectively (p=0.72). Conclusion: Laparoscopic right hemicolectomy with ICA has better postoperative recovery. The rate of recurrence, disease-free survival and overall survival were similar between ICA and ECA approaches. Laparoscopic right hemicolectomy with ICA is deemed a safe operation for lesions of the right colon.