Comparison of short and long-term outcomes of intracorporeal vs extracorporeal anastomosis in laparoscopic right hemicolectomy for colon cancer: A multicentric study

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dc.contributor.authorGundogan, Ersin
dc.contributor.authorAltuntas, Yunus Emre
dc.contributor.authorKaya, Selcuk
dc.contributor.authorAlkan, Murat
dc.contributor.authorKundes, Fikri
dc.contributor.authorSumer, Fatih
dc.contributor.authorGundogan, Gokcen Alinak
dc.date.accessioned2026-04-04T13:33:01Z
dc.date.available2026-04-04T13:33:01Z
dc.date.issued2026
dc.departmentİnönü Üniversitesi
dc.description.abstractOBJECTIVE: This study aimed to evaluate and compare the short-and long-term outcomes of intracorporeal versus extracorporeal anastomosis techniques in patients who underwent laparoscopic right hemicolectomy for colon cancer. METHODS: A retrospective analysis was conducted on patients who underwent laparoscopic right colectomy between January 2012 and June 2017 at two different centers. Groups were compared based on demographic data, preoperative clinical features, intraoperative and postoperative variables, pathological findings, and long-term follow-up outcomes. RESULTS: The study included n=50 patients, with n=24 assigned to the intracorporeal anastomosis group and n=26 to the extracorporeal group. Intraoperative assessment showed that the intracorporeal group had significantly lower estimated blood loss (47 +/- 31.1 vs. 92.9 +/- 63.8 mL, p=0.01) and shorter total incision length (8.6 +/- 5.2 vs. 22.8 +/- 13.1 cm, p=0.001). During the early postoperative period, earlier oral intake (2.2 +/- 1.4 vs. 4 +/- 1.1 days, p=0.001) and shorter hospital stay (5.3 +/- 2.1 vs. 7.9 +/- 3.2 days, p=0.01) were observed in the intracorporeal group, while & imath;ntensive care unit (ICU) stay was longer (1.1 +/- 0.4 vs. 0.3 +/- 0.6 days, p=0.001). Pathological evaluation confirmed adequate lymph node dissection (>= 12 nodes) in all patients; however, the extracorporeal group demonstrated a higher total lymph node yield (31.9 +/- 13.3 vs. 23.3 +/- 7.3, p=0.04). CONCLUSION: Intracorporeal anastomosis in laparoscopic right hemicolectomy may provide certain perioperative benefits, including lower intraoperative blood loss, faster return to oral intake, and reduced hospitalization time. Despite this, the extracorporeal technique yielded a higher number of harvested lymph nodes, although oncological adequacy was achieved in both groups.
dc.identifier.doi10.14744/nci.2025.67424
dc.identifier.issn2148-4902
dc.identifier.issn2536-4553
dc.identifier.issue1
dc.identifier.scopus2-s2.0-105032786911
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.14744/nci.2025.67424
dc.identifier.urihttps://hdl.handle.net/11616/108873
dc.identifier.volume13
dc.identifier.wosWOS:001713017800014
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherKare Publ
dc.relation.ispartofNorthern Clinics of Istanbul
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectColon cancer
dc.subjectcolorectal surgery
dc.subjectlaparoscopy
dc.subjectminimally invasive surgery
dc.subjectright hemicolectomy
dc.titleComparison of short and long-term outcomes of intracorporeal vs extracorporeal anastomosis in laparoscopic right hemicolectomy for colon cancer: A multicentric study
dc.typeArticle

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