Evidence map›Paper›PMID 42536157›Full record

ArticleSurgery today2026

Medial vs. inferior approach in laparoscopic right hemicolectomy: a comparative study of the perioperative outcomes for early-career surgeons.

Reimi Kawagoe, Nobuki Ichikawa, Tatsushi Shimokuni, Shin Emoto, Yui Ishiguro, Asao Tamanaha, Yasutomo Fukasaku, Takahiro Oshima, Michio Tani, Shuhei Kii and 1 more

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Reimi KawagoeDepartment of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Nobuki IchikawaDepartment of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan. n_ichi@pop.med.hokudai.ac.jp.ORCID http://orcid.org/0000-0002-8934-9684
Tatsushi ShimokuniDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Shin EmotoDepartment of Surgery, Kushiro Rosai Hospital, Kushiro, Hokkaido, Japan.
Yui IshiguroDepartment of Surgery, Kushiro Rosai Hospital, Kushiro, Hokkaido, Japan.
Asao TamanahaDepartment of Surgery, Sunagawa City Medical Center, Sunagawa, Hokkaido, Japan.
Yasutomo FukasakuDepartment of Surgery, KKR Sapporo Medical Center, Sapporo, Hokkaido, Japan.
Takahiro OshimaDepartment of Surgery, Wakkanai City Hospital, Wakkanai, Hokkaido, Japan.
Michio TaniDepartment of Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Hokkaido, Japan.
Shuhei KiiDepartment of Surgery, Sapporo City General Hospital, Sapporo, Hokkaido, Japan.
Akinobu TaketomiDepartment of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the safety of the medial and inferior approaches in laparoscopic right hemicolectomy and assess their suitability for early career surgeons.

methodsIn this multicenter cohort study, 289 patients who underwent laparoscopic right hemicolectomy at 21 institutions were analyzed using propensity score matching. The outcomes of the medial and inferior approaches were compared in the overall cohort and in cases performed by early career surgeons (≤ 12 postgraduate years).

resultsIn the overall cohort (medial, n = 119; inferior, n = 170), no significant differences were observed in the intraoperative or postoperative complication rates, operative time, or blood loss. Among early career surgeons (medial, n = 42; inferior, n = 99), the medial approach was associated with a lower incidence of postoperative complications (OR 0.25; 95% CI 0.04 to 0.93; p = 0.037) and a shorter operative time (β = -21.75 min, 95% CI -40.57 to -0.94; p = 0.040).

conclusionFor early career surgeons, the medial approach was associated with a lower risk of postoperative complications and a shorter operative time. These findings support the educational value of this technique and suggest that prioritizing it in early surgical training may enhance perioperative safety and inform surgical training curricula.

Indexed as

Early-career surgeonInferior approachLaparoscopic right hemicolectomyMedial approachSurgical education

Identifiers

PMID42536157

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