Laparoscopic Right Colectomy with Intracorporeal Anastomosis Is Associated with Lower Rate of Incisional Hernia Compared to Extracorporeal Anastomosis

Background: Laparoscopic right hemicolectomy is considered the gold standard surgical treatment for patients with right colon malignancies. The restoration of bowel continuity can be performed by intracorporal anastomosis (ICA) or extracorporal anastomosis (ECA) techniques. Objectives: To evaluate a single-center experience in laparoscopic right colectomy, comparing patients with ICA and ECA. Methods: This is a case-control retrospective study included all patients who underwent laparoscopic right colectomy between the years 2016–2022 at our medical center. Patients were divided according to the operative technique. The study database included demographics as well as intraoperative and postoperative parameters. Results: Overall, 125 patients were included in the study, which included 98 patients (78.4%) from the ICA group included and 27 patients in the ECA group. Both groups were comparable in demographics and co-morbidities. No significant differences were observed between the groups in intraoperative complications, length of surgery, return to the oral diet, and length of hospital stay. The incidence of postoperative ventral hernia was significantly higher in patients from the ECA group (18.5% vs. 3.1%, P = 0.012). Conclusions: Laparoscopic right colectomy with ICA is associated with a lower rate of postoperative ventral hernias.