EARLY OUTCOMES OF LAPAROSCOPIC RIGHT HEMICOLECTOMY WITH D3 LYMPHADENECTOMY FOR RIGHT-SIDED COLON CANCER
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Abstract
Background: Laparoscopic right hemicolectomy was first performed by Jacobs in 1991. To date, this procedure is considered the gold standard for treating right-sided colon cancer, offering superior advantages over open surgery. However, surgical principles remain controversial; while Complete Mesocolic Excision (CME) with Central Vascular Ligation (CVL) is prominent in Western countries, D3 lymph node dissection based on observations of regional lymph node metastasis-has become the standard of care for colon cancer surgery in Japan. Objectives: To evaluate the early outcomes within 30 days following laparoscopic right hemicolectomy combined with D3 lymph node dissection in the treatment of right-sided colon cancer. Materials and methods: A non-controlled clinical intervention study was conducted on 41 patients with right-sided colon cancer who underwent D3 lymphadenectomy at Can Tho University of Medicine and Pharmacy Hospital from July 2024 to October 2025. Results: Male/Female ratio: 19/22. Mean age: 63 ± 12.8 years. Surgical technique: Dissection of the left border of the superior mesenteric vein (SMV) and harvest of the main lymph node group (D3) were achieved in 100% of cases. Mean operative time: 187.61 ± 52.04 minutes. Mean blood loss: 74.39 ± 31.7 ml. The average number of dissected lymph nodes: 15.73 ± 4.2. The mean number of metastatic lymph nodes was 0.83 ± 1.68. Mean postoperative hospital stay: 7.9 ± 2 days. Postoperative complications: Surgical site infection occurred in 6 patients (14.6%); none had anastomotic leakage. Conclusion: Laparoscopic right hemicolectomy with D3 lymph node dissection is a safe and feasible method for the treatment of right-sided colon cancer.
Keywords
Right-sided colon cancer, Laparoscopic right hemicolectomy, D3 lymphadenectomy
Article Details
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