Sistema de Salut de Catalunya
Institut Català de la Salut
[Sica GS, Fiorani C] Minimally Invasive and Gastrointestinal Surgery Unit, University of Rome Tor Vergata, Rome, Italy. [Anania G] Department of Medical Science, University of Ferrara, Ferrara, Italy. [Siragusa L] Division of Colon and Rectal Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy. [Vinci D] Department of Surgical Science, Policlinico Tor Vergata—University Tor Vergata, Rome, Italy. [Caricato M] Colorectal Surgery Unit, Università Campus Bio-Medico di Roma, Rome, Italy. [Pellino G] Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy
Vall d'Hebron Barcelona Hospital Campus
2025-09-16T09:23:30Z
2025-09-16T09:23:30Z
2025-06
Colectomy; Mesocolic excision; Delphi consensus
Colectomía; Escisión mesocólica; Consenso Delphi
Colectomia; Excisió mesocòlica; Consens Delphi
Background Complete mesocolic excision refers to a radical right hemicolectomy for cancer following embryologically defined anatomical planes. However, heterogeneity in definitions and techniques is a barrier to research. The aim of the Radical Right Colectomy—Surgical Technique Approved Report (RRoC-STAR) collaborative is to provide international expert consensus-based definitions and standardized terminology and surgical steps for right hemicolectomy for locally advanced colon cancer. Methods Authors of publications reporting on radical right hemicolectomy techniques were invited to complete an ACCORD-compliant Delphi questionnaire (two rounds). A standardized name (for the procedure) and a data sheet for reporting the procedure were proposed, along with 21 items, including terminology and surgical steps. The assembled panel was asked to vote for each item, with consensus considered to have been reached for items that achieved at least 80% agreement. Results Of 162 invited authors, 67 completed both Delphi rounds. All but 1 of the 21 items received consensus after 2 rounds. Consensus was reached on the use of the proposed data sheet for reporting, the term radical right colectomy (RRC), and the surgical steps deemed necessary for RRC, namely preservation of mesocolic integrity, sharp dissection of the anterolateral surface of the superior mesenteric vein up to the middle colic vein, ligation at the origin of vessels, and dissection of lymphoadipose tissue around the gastrocolic trunk of Henle. Conclusion This study provides an international expert consensus-based definition and standardization of terminology and the surgical steps required to perform RRC. A comprehensive data sheet for reporting RRC is introduced to enable data homogenization from current and future studies.
Department of General Surgery, Universita´Tor Vergata, Rome, Italy.
Article
Published version
English
Còlon - Càncer - Cirurgia; Colectomia; Decisió, Presa de; Mètode Delphi; Sutures (Cirurgia); DISEASES::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Colorectal Neoplasms::Colonic Neoplasms; Other subheadings::Other subheadings::Other subheadings::/surgery; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Digestive System Surgical Procedures::Colectomy; INFORMATION SCIENCE::Information Science::Systems Analysis::Delphi Technique; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Ligation; PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus; ANATOMY::Body Regions::Torso::Abdomen::Abdominal Cavity::Peritoneum::Mesentery::Mesocolon; Other subheadings::Other subheadings::Other subheadings::/surgery; ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::neoplasias colorrectales::neoplasias del colon; Otros calificadores::Otros calificadores::Otros calificadores::/cirugía; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos del sistema digestivo::colectomía; CIENCIA DE LA INFORMACIÓN::Ciencias de la información::análisis de sistemas::técnica Delfos; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::ligadura; PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::psicología social::procesos de grupo::consenso; ANATOMÍA::regiones corporales::tronco::abdomen::cavidad abdominal::peritoneo::mesenterio::mesocolon; Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
Oxford University Press
BJS Open;9(3)
https://doi.org/10.1093/bjsopen/zraf066
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
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