Surgical case: an 48-year-old man presented with a positive fecal occult blood test. He had no history of abdominal pain or distension. His diagnostic colonoscopy revealed a hepatic flexure tumor of approximately 60 mm, and the biopsy specimen showed a well-differentiated adenocarcinoma. Preoperative three-phase dynamic computed tomography for disease staging showed a hepatic flexure tumor of 5× 5 cm without metastasis. A laparoscopic right hemicolectomy was planned.Laparoscopic extended right hemicolectomy with D3 lymph node dissection was performed. Pathological examination of the tumor revealed moderately differentiated adenocarcinoma of the colon and 43 lymph nodes were removed `en-block` of whom 7 were found with metastasis. The postoperative course was uneventful, and the patient was discharged in the 5-th postoperative day.
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