Introduction: Laparoscopic right hemicolectomy is currently considered the standard of care in benign and malignant right colon disease This chapter describes the technique for laparoscopic right colectomy technique, with a focus on ileo-colic anastomosis, highlighting the differences between intracorporeal and extracorporeal anastomosis fashions in terms of clinical outcome and surgical safety.

Patients and methods: prospective and retrospective study study was conducted in Minia university hospital including 10 patients with Right sided colonic cancer who underwent laparoscopic right hemicolectomy,. 5 cases with Extracoropreal type and 5 cases with intracorporeal type of ileocolic anastomosis from Dec. 2019 to june. 2022.

Results

Operative time was The operative time (199 min vs. 183 min; p = 0.109) was

slightly higher in the ICA group than in the ECA group; however, this difference was statisticall not significant.

Wound infection (10% of patients ICA group vs. 20% of patients in ECA group)

overall intestinal leakage occurred in 2 cases 20% of all cases

one case with IC anastomosis and one case with Extracorporeal anastomosis

Conclusion

Theres no big differences between types of anastomosis that held on our cases

Slightly good results in intracorporeal type of anastomosis than extracorporeal type