2026-04-17T03:14:33Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/136532025-10-24T10:42:39Zcom_2072_378070com_2072_378040col_2072_378092

00925njm 22002777a 4500 dc SICA, GIUSEPPE author anania, gabriele author Fiorani, Cristina author Siragusa, Leandro author Vinci, Danilo author Caricato, Marco author Pellino, Gianluca author 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. http://hdl.handle.net/11351/13653 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 Standardization of the surgical technique and reporting for radical right colectomy with central vascular ligation and complete mesocolic excision (RRoC-STAR): Delphi consensus