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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorSica, Giuseppe S.
dc.contributor.authorVinci, Danilo
dc.contributor.authorSiragusa, Leandro
dc.contributor.authorSensi, Bruno
dc.contributor.authorGuida, Andrea M.
dc.contributor.authorGarcía‑Granero, Álvaro
dc.contributor.authorPellino, Gianluca
dc.contributor.authorBellato, Vittoria
dc.date.accessioned2023-04-05T10:28:26Z
dc.date.available2023-04-05T10:28:26Z
dc.date.issued2023-02
dc.identifier.citationSica GS, Vinci D, Siragusa L, Sensi B, Guida AM, Bellato V, et al. Definition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: a systematic review. Surg Endosc. 2023 Feb;37:846–861.
dc.identifier.issn1432-2218
dc.identifier.urihttps://hdl.handle.net/11351/9302
dc.descriptionColorectal cancer; Colorectal surgery; D3 lymphadenectomy
dc.description.abstractBackground Several procedures have been proposed to reduce the rates of recurrence in patients with right-sided colon cancer. Different procedures for a radical right colectomy (RRC), including extended D3 lymphadenectomy, complete mesocolic excision and central vascular ligation have been associated with survival benefits by some authors, but results are inconsistent. The aim of this study was to assess the variability in definition and reporting of RRC, which might be responsible for significant differences in outcome evaluation. Methods PRISMA-compliant systematic literature review to identify the definitions of RRC. Primary aims were to identify surgical steps and different nomenclature for RRC. Secondary aims were description of heterogeneity and overlap among different RRC techniques. Results Ninety-nine articles satisfied inclusion criteria. Eight surgical steps were identified and recorded as specific to RRC: Central arterial ligation was described in 100% of the included studies; preservation of mesocolic integrity in 73% and dissection along the SMV plane in 67%. Other surgical steps were inconstantly reported. Six differently named techniques for RRC have been identified. There were 35 definitions for the 6 techniques and 40% of these were used to identify more than one technique. Conclusions The only universally adopted surgical step for RRC is central arterial ligation. There is great heterogeneity and consistent overlap among definitions of all RRC techniques. This is likely to jeopardise the interpretation of the outcomes of studies on the topic. Consistent use of definitions and reporting of procedures are needed to obtain reliable conclusions in future trials. PROSPERO CRD42021241650.
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofseriesSurgical Endoscopy;37
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectCòlon - Càncer - Cirurgia
dc.subject.meshColonic Neoplasms
dc.subject.mesh/surgery
dc.subject.meshColectomy
dc.titleDefinition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: a systematic review
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1007/s00464-022-09548-5
dc.subject.decsneoplasias del colon
dc.subject.decs/cirugía
dc.subject.decscolectomía
dc.relation.publishversionhttps://doi.org/10.1007/s00464-022-09548-5
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Sica GS, Siragusa L, Sensi B] Minimally Invasive Unit, Department of Surgical Science, University Tor Vergata, Rome, Italy. Department of Surgical Science, Policlinico Tor Vergata – University Tor Vergata, Rome, Italy. [Vinci D, Guida AM] Department of Surgical Science, Policlinico Tor Vergata – University Tor Vergata, Rome, Italy. [Bellato V] Department of Surgical Science, Policlinico Tor Vergata – University Tor Vergata, Rome, Italy. Ospedale IRCCS San Rafaele, Milan, Italy. [García-Granero Á] Colorectal Unit, Hospital Universitario Son Espases, Palma, Spain. Applied Surgical Anatomy Unit, Human Embryology and Anatomy Department, University of Valencia, Valencia, Spain. Human Embryology and Anatomy Department, University of Islas Baleares, Palma, Spain. [Pellino G] Department of Advanced Medical and Surgical Sciences, Università Degli Studi Della Campania “Luigi Vanvitelli”, Naples, Italy. Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain
dc.identifier.pmid36097099
dc.identifier.wos000852954000006
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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