Laparoscopic redo ileocolic anastomosis for anastomotic leakage after right hemicolectomy: A case report

doi:10.4240/wjgs.118467

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Case Report

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Jun 27, 2026; 18(6): 118467
Published online Jun 27, 2026. doi: 10.4240/wjgs.118467

Laparoscopic redo ileocolic anastomosis for anastomotic leakage after right hemicolectomy: A case report

Seung Ho Song

Seung Ho Song, Department of Surgery, Kyungpook National University Hospital, Daegu 41944, South Korea

Seung Ho Song, School of Medicine, Kyungpook National University, Daegu 41944, South Korea

Author contributions: Song SH was the attending surgeon responsible for the patient’s clinical management, performed the initial surgery and reoperation, collected and analyzed the clinical data, reviewed the literature, edited and prepared the surgical video, drafted and revised the manuscript, read and approved the final manuscript.

AI contribution statement: Only limited portions of the Introduction, Case Presentation, and Discussion sections were assisted for English language refinement. ChatGPT was used for English language polishing. AI tools were not involved in the study design, data analysis, or interpretation of the results. No images were generated using AI tools.

Supported by the 2025 Internal Research Project of Kyungpook National University Hospital, No. 2025-A1-01; and the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, No. RS-2022-KH130590.

Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.

Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Seung Ho Song, MD, PhD, Assistant Professor, Department of Surgery, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, South Korea. songsh@knu.ac.kr

Received: January 7, 2026
Revised: January 27, 2026
Accepted: March 3, 2026
Published online: June 27, 2026
Processing time: 158 Days and 15.2 Hours

Abstract

BACKGROUND

Anastomotic leakage (AL) after right hemicolectomy is less common than after rectal surgery, yet it often necessitates prompt surgical intervention once it occurs. Reoperation is typically performed via an open approach, and reports of laparoscopic redo anastomosis are scarce. Owing to the rarity of this complication, practical surgical decision-making and technical details are insufficiently described. This case report presents step-by-step techniques and key considerations for laparoscopic redo ileocolic anastomosis in a carefully selected patient.

CASE SUMMARY

A 77-year-old man with multiple comorbidities presented with hematochezia and was diagnosed with ascending colon cancer. He underwent laparoscopic right hemicolectomy with D3 complete mesocolic excision and central vascular ligation. On postoperative day 6, AL was suspected following colonoscopy performed for recurrent bleeding. Emergency reoperation revealed localized peritonitis without generalized contamination. Laparoscopic redo ileocolic anastomosis was performed after careful assessment of retroperitoneal adhesions, followed by selective protective ileostomy. The postoperative course was uneventful, and the patient was discharged on postoperative day 8.

CONCLUSION

Laparoscopic redo ileocolic anastomosis is feasible for AL after right hemicolectomy in carefully selected patients.

Keywords: Right hemicolectomy; Anastomotic leakage; Laparoscopic reoperation; Redo anastomosis; Case report

Core Tip: Anastomotic leakage after right hemicolectomy is uncommon but usually requires surgical reintervention once diagnosed. Laparoscopic redo anastomosis remains rarely reported, and practical guidance for real-world decision-making is limited. This case report demonstrates a stepwise approach to laparoscopic redo ileocolic anastomosis, emphasizing early assessment of peritonitis, careful evaluation of retroperitoneal adhesions near the duodenum and pancreas, and key technical strategies to avoid major complications. This report provides practical insights for surgeons considering a minimally invasive approach in carefully selected patients.