Purpose Anastomoses formation during minimally invasive right hemicolectomy (RH) varies in Australasia, with many preferring the extracorporeal technique (ECA) despite increasing evidence for potentially improved postoperative outcomes with the intracorporeal technique (ICA). The aim of this study was to review a prospectively maintained colorectal neoplasia database since incorporating ICA in RH. Methodology From 2015-2023, 599 patients underwent RH for colon neoplasia. Those receiving ICA (n = 54) were compared to those receiving ECA (n = 545). RH technique used to construct ICA, laparoscopic (n = 31) versus robotic (n = 23), was also analysed. Length of hospital stay (LOS) was the primary outcome. Secondary outcomes included oversewing of anastomoses, lymph node harvest, conversion to open surgery, peri- and post operative outcomes and 30-day mortality. Results Age, sex and BMI were similar across groups. ICA patients had a significantly lower LOS (5 days) vs ECA (6 days, p=0.001). ICA patients were more likely to have their anastomoses completely oversewn (p<0.001). There were no significant differences between robotic ICA vs laparoscopic ICA. Two ICA patients (3.8%) vs four ECA patients (0.7%, p=0.034) experienced post operative haemorrhage (anastomotic bleed). No other differences were observed. Conclusion Minimally invasive RH ICA confers a significant advantage in decreasing LOS. There was a small increase in the anastomotic bleeding rate, but the events were infrequent. Moreover, the remaining outcomes recorded were similar across the ICA and ECA groups and overall RH ICA is a safe technique for colorectal neoplasia.