Background: We report our preliminary experience in urgent laparoscopically assisted right hemicolectomy
for obstructing right-sided colon carcinoma.
Materials and Methods: From January to April 2005, seven consecutive patients with obstructing
right-sided colon carcinoma underwent emergency laparoscopically assisted right or extended right
hemicolectomy. Patient demographic data, operative details, and short-term clinical outcomes were
prospectively collected and analyzed.
Results: The median duration of obstructing symptoms prior to admission was 3 days (range, 1–6
days). Two patients underwent palliative resection and five patients underwent curative resection.
The median operative time was 180 minutes (range, 125–350 minutes). There were no conversions
to the open procedure. Median blood loss was 30 mL (range, negligible–300 mL). The median times
to resuming diet, first bowel motion, and full ambulation were 4 days (range, 3–10 days), 5 days
(range, 3–7 days), and 4 days (range, 4–5 days), respectively. The median duration of hospital stay
was 7 days (range, 6–19 days). One patient with ischemic heart disease developed acute coronary
syndrome postoperatively and died on postoperative day 19. The remaining patients had no complications.
The median tumor length was 3.5 cm (range, 2–5 cm) and the median number of lymph
nodes removed was 17 (range, 16–36).
Conclusion: Emergency laparoscopically assisted right hemicolectomy for obstructing right-sided
colon carcinoma is feasible and safe, with favorable short-term clinical outcomes and an acceptable
number of lymph nodes removed.
