Laparoscopic Left Colectomy (Left Hemicolectomy) Questions & Answers

1. Schwenk W, Haase O, Neudecker J, Müller JM. Short term benefits for laparoscopic colorectal resection. Cochrane Database Syst Rev. 2005 Jul 20. CD003145. [QxMD MEDLINE Link].

2. Lacy AM, García-Valdecasas JC, Delgado S, Castells A, Taurá P, Piqué JM, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet. 2002 Jun 29. 359 (9325):2224-9. [QxMD MEDLINE Link].

3. Vasilakis V, Clark CE, Liasis L, Papaconstantinou HT. Noncosmetic benefits of single-incision laparoscopic sigmoid colectomy for diverticular disease: a case-matched comparison with multiport laparoscopic technique. J Surg Res. 2013 Apr. 180 (2):201-7. [QxMD MEDLINE Link].

4. Aimaq R, Akopian G, Kaufman HS. Surgical site infection rates in laparoscopic versus open colorectal surgery. Am Surg. 2011 Oct. 77 (10):1290-4. [QxMD MEDLINE Link].

5. Kiran RP, El-Gazzaz GH, Vogel JD, Remzi FH. Laparoscopic approach significantly reduces surgical site infections after colorectal surgery: data from national surgical quality improvement program. J Am Coll Surg. 2010 Aug. 211 (2):232-8. [QxMD MEDLINE Link].

6. Eshuis EJ, Slors JF, Stokkers PC, Sprangers MA, Ubbink DT, Cuesta MA, et al. Long-term outcomes following laparoscopically assisted versus open ileocolic resection for Crohn's disease. Br J Surg. 2010 Apr. 97 (4):563-8. [QxMD MEDLINE Link].

7. Braga M, Frasson M, Vignali A, Zuliani W, Civelli V, Di Carlo V. Laparoscopic vs. open colectomy in cancer patients: long-term complications, quality of life, and survival. Dis Colon Rectum. 2005 Dec. 48 (12):2217-23. [QxMD MEDLINE Link].

8. Yang L, Yu YY, Zhou ZG, Li Y, Xu B, Song JM, et al. Quality of life outcomes following laparoscopic total mesorectal excision for low rectal cancers: a clinical control study. Eur J Surg Oncol. 2007 Jun. 33 (5):575-9. [QxMD MEDLINE Link].

9. Jayne DG, Guillou PJ, Thorpe H, Quirke P, Copeland J, Smith AM, et al. Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol. 2007 Jul 20. 25 (21):3061-8. [QxMD MEDLINE Link].

10. Liang X, Hou S, Liu H, Li Y, Jiang B, Bai W, et al. Effectiveness and safety of laparoscopic resection versus open surgery in patients with rectal cancer: a randomized, controlled trial from China. J Laparoendosc Adv Surg Tech A. 2011 Jun. 21 (5):381-5. [QxMD MEDLINE Link].

11. Sweigert PJ, Eguia E, Kothari AN, Ban KA, Nelson MH, Baker MS, et al. Do prolonged operative times obviate the benefits associated with minimally invasive colectomy?. Surgery. 2019 Sep. 166 (3):336-341. [QxMD MEDLINE Link].

12. Vasudevan V, Reusche R, Wallace H, Kaza S. Clinical outcomes and cost-benefit analysis comparing laparoscopic and robotic colorectal surgeries. Surg Endosc. 2016 Dec. 30 (12):5490-5493. [QxMD MEDLINE Link].

13. Bae SU, Jeong WK, Baek SK. Robot-Assisted Colectomy for Left-Sided Colon Cancer: Comparison of Reduced-Port and Conventional Multi-Port Robotic Surgery. J Laparoendosc Adv Surg Tech A. 2017 Apr. 27 (4):398-403. [QxMD MEDLINE Link].

14. Jimenez-Rodriguez RM, Quezada-Diaz F, Tchack M, Pappou E, Wei IH, Smith JJ, et al. Use of the Xi robotic platform for total abdominal colectomy: a step forward in minimally invasive colorectal surgery. Surg Endosc. 2019 Mar. 33 (3):966-971. [QxMD MEDLINE Link].

15. Khorgami Z, Li WT, Jackson TN, Howard CA, Sclabas GM. The cost of robotics: an analysis of the added costs of robotic-assisted versus laparoscopic surgery using the National Inpatient Sample. Surg Endosc. 2019 Jul. 33 (7):2217-2221. [QxMD MEDLINE Link].

16. Ngu JC, Teo NZ. Robotic assistance is technically superior to conventional laparoscopy in hemicolectomies. Int J Med Robot. 2022 Jan 11. e2367. [QxMD MEDLINE Link].

17. Fukuoka H, Fukunaga Y, Nagasaki T, Akiyoshi T, Konishi T, Nagayama S, et al. Lymph Node Mapping in Transverse Colon Cancer Treated Using Laparoscopic Colectomy With D3 Lymph Node Dissection. Dis Colon Rectum. 2022 Mar 1. 65 (3):340-352. [QxMD MEDLINE Link].

18. Kim MJ, Kim JH, Lee YS, Kye BH, Cho HM, Kim HJ, et al. Short- and long-term outcomes of laparoscopic segmental left colectomy for splenic flexure colon cancer: comparison with propensity score matching. Ann Surg Treat Res. 2021 Nov. 101 (5):274-280. [QxMD MEDLINE Link]. [Full Text].

19. Yeo HL, Isaacs AJ, Abelson JS, Milsom JW, Sedrakyan A. Comparison of Open, Laparoscopic, and Robotic Colectomies Using a Large National Database: Outcomes and Trends Related to Surgery Center Volume. Dis Colon Rectum. 2016 Jun. 59 (6):535-42. [QxMD MEDLINE Link]. [Full Text].

20. Allaix ME, Lena A, Degiuli M, Arezzo A, Passera R, Mistrangelo M, et al. Intraoperative air leak test reduces the rate of postoperative anastomotic leak: analysis of 777 laparoscopic left-sided colon resections. Surg Endosc. 2019 May. 33 (5):1592-1599. [QxMD MEDLINE Link].

21. Kuhry E, Schwenk W, Gaupset R, Romild U, Bonjer J. Long-term outcome of laparoscopic surgery for colorectal cancer: a cochrane systematic review of randomised controlled trials. Cancer Treat Rev. 2008 Oct. 34 (6):498-504. [QxMD MEDLINE Link].

22. Colon Cancer Laparoscopic or Open Resection Study Group., Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009 Jan. 10 (1):44-52. [QxMD MEDLINE Link].

23. Borie F, Bigourdan JM, Pissas MH, Ripoche J, Millat B. The best surgical approach for left colectomy: a comparative study between transverse laparotomy, midline laparotomy and laparoscopy. J Gastrointest Surg. 2014 May. 18 (5):1010-6. [QxMD MEDLINE Link].

24. Wei D, Johnston S, Goldstein L, Nagle D. Minimally invasive colectomy is associated with reduced risk of anastomotic leak and other major perioperative complications and reduced hospital resource utilization as compared with open surgery: a retrospective population-based study of comparative effectiveness and trends of surgical approach. Surg Endosc. 2020 Feb. 34 (2):610-621. [QxMD MEDLINE Link].

25. Zarzavadjian le Bian A, Genser L, Denet C, Ferretti C, Laforest A, Ferraz JM, et al. Safety and feasibility of repeat laparoscopic colorectal resection: a matched case-control study. Surg Endosc. 2020 May. 34 (5):2120-2126. [QxMD MEDLINE Link].

26. Marks JH, Montenegro GA, Shields MV, Frenkel JL, Marks GJ. Single-port laparoscopic colorectal surgery shows equivalent or better outcomes to standard laparoscopic surgery: results of a 190-patient, 7-criterion case-match study. Surg Endosc. 2015 Jun. 29 (6):1492-9. [QxMD MEDLINE Link].

27. Maggiori L, Tuech JJ, Cotte E, Lelong B, Denost Q, Karoui M, et al. Single-incision Laparoscopy Versus Multiport Laparoscopy for Colonic Surgery: A Multicenter, Double-blinded, Randomized Controlled Trial. Ann Surg. 2018 Nov. 268 (5):740-746. [QxMD MEDLINE Link].

28. Lin Z, Yang C, Wang Y, Yan M, Zheng H. Comparison of prolonged postoperative ileus between laparoscopic right and left colectomy under enhanced recovery after surgery: a propensity score matching analysis. World J Surg Oncol. 2022 Mar 4. 20 (1):68. [QxMD MEDLINE Link]. [Full Text].

29. Besson R, Christidis C, Denet C, Bruyns L, Levard H, Gayet B, et al. Management of postoperative bleeding after laparoscopic left colectomy. Int J Colorectal Dis. 2016 Aug. 31 (8):1431-6. [QxMD MEDLINE Link].

30. Benlice C, Stocchi L, Sapci I, Gorgun E, Kessler H, Liska D, et al. Impact of the extraction-site location on wound infections after laparoscopic colorectal resection. Am J Surg. 2019 Mar. 217 (3):502-506. [QxMD MEDLINE Link].

31. Pardo Aranda F, Maristany C, Pando JA, Muñoz-Duyos A, Navarro A, Puértolas N, et al. Application of Fast-Track Recovery Protocols in Single-Port Laparoscopic Surgery Versus Multiport Laparoscopic Surgery for Colon Resection. J Laparoendosc Adv Surg Tech A. 2016 Jun. 26 (6):424-7. [QxMD MEDLINE Link].

32. Portinari M, Ascanelli S, Targa S, Dos Santos Valgode EM, Bonvento B, Vagnoni E, et al. Impact of a colorectal enhanced recovery program implementation on clinical outcomes and institutional costs: A prospective cohort study with retrospective control. Int J Surg. 2018 May. 53:206-213. [QxMD MEDLINE Link].

33. Zarzavadjian le Bian A, Genser L, Denet C, Ferretti C, Laforest A, Ferraz JM, et al. Safety and feasibility of repeat laparoscopic colorectal resection: a matched case-control study. Surg Endosc. 2020 May. 34 (5):2120-2126. [QxMD MEDLINE Link].

David B Stewart, Sr, MD, FACS, FASCRS Assistant Professor of Surgery, Division of Colon and Rectal Surgery, Department of Surgery, Milton S Hershey Medical Center, Pennsylvania State University College of Medicine

David B Stewart, Sr, MD, FACS, FASCRS is a member of the following medical societies: American College of Surgeons, American Society of Colon and Rectal Surgeons, Association for Academic Surgery, Society of American Gastrointestinal and Endoscopic Surgeons

Disclosure: Nothing to disclose.

Vikram Kate, MBBS, PhD, MS, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FIMSA, FFST(Ed), MAMS, MASCRS Professor of General and Gastrointestinal Surgery and Senior Consultant Surgeon, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), India

Vikram Kate, MBBS, PhD, MS, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FIMSA, FFST(Ed), MAMS, MASCRS is a member of the following medical societies: American College of Gastroenterology, American College of Surgeons, American Society of Colon and Rectal Surgeons, Fellow of the Faculty of Surgical Trainers (RCSEd), Royal College of Physicians and Surgeons of Glasgow, Royal College of Surgeons of Edinburgh, Royal College of Surgeons of England, Society for Surgery of the Alimentary Tract

Disclosure: Nothing to disclose.

The Chief Editor would like to acknowledge the assistance of Dr Gurushankari Balakrishnan, Surgical Oncology Resident, Cancer Institute (WIA), Adyar, Chennai, India, in updating the review of this article. 

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