Several literatures identified that a complete mesocolon excision of the right colonic cancer is very feasible but best by Laparoscopic or Robotic surgery.

Ιn open surgery, a “lateral-to-medial” approach is generally performed. However, in their original description, Hohenberger et al added a duodenal kocherization at this point but that is not routinely performed.

In laparoscopic surgery, a “medial-to-lateral” approach is preferable.....etc

Please see the link below for further details:

Dimitriou N, Griniatsos J. Complete mesocolic excision: Techniques and outcomes. World J Gastrointest Oncol 2015; 7(12): 383-388 Available from: URL: http://www.wjgnet. com/1948-5204/full/v7/i12/383.htm DOI: http://dx.doi. org/10.4251/wjgo.v7.i12.383

a complete mesocolon excision of right colonic cancer is accessible, safe and feasible by open surgery or laparoscopic or robotic surgery and must be standard treatment of right colon carcinoma. @

• Journal List World J Gastrointest Oncol v.7(12); 2015 Dec 15 PMC4678385

Complete mesocolon excision is not only feasible but necessary to minimize risk of local recurrence. I am doing this operation by robotic approach routinely with intracorporeal anastomosis. Liver metastases from right colon cance have poor prognosis than from the left colon, therefore, these patients must be followed carefully.

No doubt about the need. Watch it when are taking down the hepatic flexure to avoid (missed) duodenal damage

I agree with the answers above, the only difference is what you have: only with your own hands, laparoscopic equipment or a robot.