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This study aimed to investigate our initial experiences of single incisional laparoscopic right colectomy (SILRC) comparing with conventional laparoscopic right colectomy (CLRC) for cancers performed by a single expert in a single institute.Twenty patients of each group between August 2009 and April 2010 with 1:1 matching for age, sex and body mass index (BMI) were analyzed. The demographic data, perioperative factors, oncologic-related factors, and early clinical outcomes were assessed. All SILRC was performed through 3 cm transumbilical incision without additional trocars.The amount of intravenous analgesia was significantly less in CLRC (P = 0.002) and oral analgesia was no different (P = 0.572). Between two groups, there was no difference in operating time (P = 0.279), number of harvested lymph nodes (P = 0.694), length of resection margin (proximal, P = 0.881; distal, P = 0.284), and complications (P = 0.106). SILRC group started a diet on3.25 ± 0.7 days and discharged on 8.7 ± 5 days and on 3 ± 1 and on 7 ± 1 in CLRC (P = 0.718 and P = 0.637) postoperatively. There was no conversion to open surgery and no postoperative 30day mortality in either group.SILRC is safe and feasible alternative to CLRC with superior cosmetic outcome. Further large scaleprospective randomized studies are warranted to evaluate the role of SILRC.