What are the benefits of laparoscopic-assisted right colectomy with extracorporeal ileocolic anastomosis as compared to open thru minilaparotomy?

Lubomir Martinek


The benefits of laparoscopic colorectal surgery are apparent. However, laparoscopy generally requires special instruments, longer operation time, and a steep learning curve. Some studies reported that minilaparotomy using conventional surgical techniques and tools offers similar favorable outcomes. This review aimed to compare laparoscopic-assisted right colectomy with extracorporeal anastomosis and open right colectomy using minilaparotomy. Based on the analysis of recent literature, the proofs supported right colectomy via minilaparotomy are limited. There is no evidence for superiority for open right colectomy thru minilaparotomy in terms of more favorable postoperative course or better long-term results. The short-term outcomes for right colectomies using minilaparotomy were similar to laparoscopy in selected cases only. Currently, there is no reliable reason to start right colectomy using minilaparotomy.