目的　总结应用改良手助式腹腔镜右半结肠切除术的经验。方法　自 2 0 0 1年 9月至 2 0 0 3年 12月 ,应用手助式腹腔镜技术行右半结肠切除 12例。结果　 12例病人手术均获成功 ,无一例中转开腹 ,手术时间为180～ 2 2 0min ,术后恢复良好 ,无切口感染、吻合口瘘、肠梗阻等并发症。随访 1～ 2 4个月 ,无切口肿瘤复发及肠梗阻的发生。结论　对于无远处转移的右侧结肠恶性肿瘤病人 ,应用手助腹腔镜行右半结肠切除术是安全、可行的。 Objective To summarize the experience of using modified manual assisted laparoscopic right hemicolectomy. Methods From September 2001 to December 2003, 12 patients underwent right-sided colectomy with hand-assisted laparoscopy. Results All the 12 cases were operated successfully. None of them were converted to laparotomy. The operation time was 180-220 minutes. The postoperative recovery was good. No incision infection, anastomotic fistula or intestinal obstruction were found. Follow-up 1 ~ 24 months, no incision tumor recurrence and intestinal obstruction occurred. Conclusion For patients with right colon cancer without distant metastasis, hand-assisted laparoscopic right-hilum resection is safe and feasible.