From the Research
The average surgical time for a laparoscopic right hemicolectomy with distal ileum resection is approximately 212 minutes, as reported in the most recent and highest quality study available 1.
Factors Affecting Surgical Time
The surgical duration can vary based on several factors including:
- The patient's body habitus
- Presence of adhesions from previous surgeries
- Extent of disease
- Surgeon's experience
- Whether there are any intraoperative complications Obese patients or those with extensive inflammatory disease may require longer operative times.
Laparoscopic Approach
The laparoscopic approach generally offers advantages over open surgery including:
- Smaller incisions
- Less postoperative pain
- Potentially faster recovery Though it may take slightly longer to perform than the traditional open approach, the benefits to the patient in terms of reduced morbidity and improved quality of life are significant.
Complexity of the Procedure
The addition of distal ileum resection adds complexity and time to the standard right hemicolectomy procedure, accounting for the higher end of the time range. However, the most recent study 1 suggests that the average surgical time for this procedure is approximately 212 minutes, which is slightly longer than the range of 120 to 180 minutes reported in earlier studies 2, 3, 4, 5.
Evidence-Based Recommendation
Based on the most recent and highest quality evidence available 1, the average surgical time for a laparoscopic right hemicolectomy with distal ileum resection is approximately 212 minutes. This recommendation prioritizes morbidity, mortality, and quality of life as the primary outcomes, and is supported by the latest research in the field.