Could the top-down right hemicolectomy be an easier alternative to the classic medial-to-lateral approach in obese patients? A case report with video example

• Laparoscopic right hemicolectomy is performed only in 25% of cases in recent survey. • The medial-to-lateral and the bottom-to-up are the most frequent approaches used to perform surgery. • Top-to-down right hemicolectomy is an infrequent approach. • Obesity is an evident aspect complicating surgical dissection. • Top-to Down dissection could be an opportunity to use as alternative approach when classical dissection becomes intricate.