Intracorporeal ileocolic anastomosis (ICA) significantly reduces incisional hernia rates in laparoscopic right hemicolectomy compared to extracorporeal anastomosis (ECA). Despite a longer mean operative time (190 vs. 170 minutes), the 24-month hernia incidence plummeted to 1.2% with ICA versus 14.7% with ECA. Patients also benefited from shorter hospital stays and fewer wound complications, solidifying ICA’s advantage despite its technical demands.
Journal Article by Lucido FS, Nesta G (…) Parisi S et 9 al. in Ann Coloproctol