dc.contributor
Institut Català de la Salut
dc.contributor
[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
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
dc.contributor.author
SICA, GIUSEPPE
dc.contributor.author
anania, gabriele
dc.contributor.author
Fiorani, Cristina
dc.contributor.author
Siragusa, Leandro
dc.contributor.author
Vinci, Danilo
dc.contributor.author
Caricato, Marco
dc.contributor.author
Pellino, Gianluca
dc.date.accessioned
2025-10-24T10:42:39Z
dc.date.available
2025-10-24T10:42:39Z
dc.date.issued
2025-09-16T09:23:30Z
dc.date.issued
2025-09-16T09:23:30Z
dc.identifier
Sica GS, Anania G, Fiorani C, Siragusa L, Vinci D, Caricato M, et al. Standardization of the surgical technique and reporting for radical right colectomy with central vascular ligation and complete mesocolic excision (RRoC-STAR): Delphi consensus. BJS Open. 2025 Jun;9(3):zraf066.
dc.identifier
http://hdl.handle.net/11351/13653
dc.identifier
10.1093/bjsopen/zraf066
dc.identifier
001507245200001
dc.identifier.uri
https://hdl.handle.net/11351/13653
dc.description.abstract
Colectomy; Mesocolic excision; Delphi consensus
dc.description.abstract
Colectomía; Escisión mesocólica; Consenso Delphi
dc.description.abstract
Colectomia; Excisió mesocòlica; Consens Delphi
dc.description.abstract
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.
dc.description.abstract
Department of General Surgery, Universita´Tor Vergata, Rome, Italy.
dc.format
application/pdf
dc.publisher
Oxford University Press
dc.relation
BJS Open;9(3)
dc.relation
https://doi.org/10.1093/bjsopen/zraf066
dc.rights
Attribution 4.0 International
dc.rights
http://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
Còlon - Càncer - Cirurgia
dc.subject
Decisió, Presa de
dc.subject
Sutures (Cirurgia)
dc.subject
DISEASES::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Colorectal Neoplasms::Colonic Neoplasms
dc.subject
Other subheadings::Other subheadings::Other subheadings::/surgery
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Digestive System Surgical Procedures::Colectomy
dc.subject
INFORMATION SCIENCE::Information Science::Systems Analysis::Delphi Technique
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Ligation
dc.subject
PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus
dc.subject
ANATOMY::Body Regions::Torso::Abdomen::Abdominal Cavity::Peritoneum::Mesentery::Mesocolon
dc.subject
Other subheadings::Other subheadings::Other subheadings::/surgery
dc.subject
ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::neoplasias colorrectales::neoplasias del colon
dc.subject
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos del sistema digestivo::colectomía
dc.subject
CIENCIA DE LA INFORMACIÓN::Ciencias de la información::análisis de sistemas::técnica Delfos
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::ligadura
dc.subject
PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::psicología social::procesos de grupo::consenso
dc.subject
ANATOMÍA::regiones corporales::tronco::abdomen::cavidad abdominal::peritoneo::mesenterio::mesocolon
dc.subject
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
dc.title
Standardization of the surgical technique and reporting for radical right colectomy with central vascular ligation and complete mesocolic excision (RRoC-STAR): Delphi consensus
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
