الفهرس 
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Abstract
Laparoscopy has emerged as the preferred operative approach for
most intra-abdominal pathologic conditions. Nonetheless, even though
the first laparoscopic colectomy was reported more than 20 years ago.
Laparoscopic hemicolectomy for colonic cancer can be performed safely,
with morbidity, mortality, and long-term results comparable to those of
open surgery.
Performing anastomosis after colectomy is one of the basic skills of
a general surgeon however in low social economic countries as Egypt we
can do anastomosis in laparoscopic right hemicolectomy by hand sewn
anastomosis rather than stapler anastomosis.
laparoscopic right hemicolectomyhave advantages. These include
less blood loss, lower perioperative morbidity, lower incidence of wound
infection and incision hernia, less postoperative pain, early recovery of
bowel function, shorter hospital stay, earlier return to work, and
comparable survival
Despite these advantages, laparoscopic right hemicolectomy is
technically challenging and warrants intensive structured training to
minimize conversion to open surgery and associated complications.
This study retrospectively reviewed the medical records of 15
patients who underwent total laparoscopic right hemicolectomy with use
of either 3-step intracorporeal anastomosis and 15 patients used
laparoscopic assisted right hemicolectomy with extracorporeal
anastomosis performed at our department between march 2017 and march 2018.
Patient demographics, preoperative and operative data, and outcomes
were included in the analysis. Key variables of interest included age, sex,
preoperative diagnosis, duration of surgery, duration of ileocolic
anastomosis, intraoperative blood loss, total length of hospital stay,
postoperative duration of intestinal function recovery, postoperative pain,
and incidence of postoperative in-hospital complications (infection,
obstruction, and bleeding). Pathological data, including tumor-nodemetastasis
(TNM) stage and the number of nodes dissected, were also
reviewed. All pathological data fell into the category of T1–3NxM0.