To investigate the clinical outcome of laparoscopic right hemicolectomy by using cephalic-intermediate or caudal-intermediate approach.

A prospective study was conducted in 102 patients underwent laparoscopic radical resection of right colon cancer from May 2017 to May 2019. All of 102 patients were randomly divided into two groups, including 51 cases in cephalic group by using cephalic-intermediate approach, while 51 patients cases in caudal group by using caudal-intermediate approach. Statistical analysis were performed by using SPSS 24.0 software package. Count data such as rate of intraoperative vascular injury and postoperative complication were compared by using χ² test. Measurement data such as surgical indicators, postoperative clinical indicators and tumor indexs were expressed as (±s) and examined by using independent t-test. A P value of <0.05 was considered as statistically significant difference.

The operation time and bleeding volume in caudal group were better than those in cephalic group, with significant difference (P<0.05). There were no significant differences between two groups in terms of intraoperative vascular injury, conversion to laparotomy, postoperative complications, first exhaust time, hospitalization time, number of lymph node dissection and specimen quality (P>0.05).

By using both two surgical approaches, radical resection of tumors could be achieved effectively in accordance with the principles of, CME. Howerve, using caudal-intermediate approach could help to decrease operation time and intraoperative bleeding volume.