2026-04-13T01:57:56Zhttps://recercat.cat/oai/requestoai:recercat.cat:11351/136532025-10-24T10:42:39Zcom_2072_378070com_2072_378040col_2072_378092
RECERCAT
author
SICA, GIUSEPPE
author
anania, gabriele
author
Fiorani, Cristina
author
Siragusa, Leandro
author
Vinci, Danilo
author
Caricato, Marco
author
Pellino, Gianluca
2025-10-24T10:42:39Z
2025-10-24T10:42:39Z
2025-09-16T09:23:30Z2025-09-16T09:23:30Z2025-06
http://hdl.handle.net/11351/13653
Colectomy; Mesocolic excision; Delphi consensusColectomía; Escisión mesocólica; Consenso DelphiColectomia; Excisió mesocòlica; Consens DelphiBackground
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.
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess
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
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion