Evidence map›Paper›PMID 40503608›Full record

ArticleBJS open2025

Standardization of the surgical technique and reporting for radical right colectomy with central vascular ligation and complete mesocolic excision (RRoC-STAR): Delphi consensus.

Giuseppe S Sica, Gabriele Anania, Cristina Fiorani, Leandro Siragusa, Danilo Vinci, Marco Caricato, Paolo Delrio, Antonino Agrusa, Gianandrea Baldazzi, Rossella Reddavid and 2 more

Abstract readConsensus Statement
In one paragraph

Article in BJS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Giuseppe S SicaMinimally Invasive and Gastrointestinal Surgery Unit, University of Rome Tor Vergata, Rome, Italy.ORCID 0000-0002-7407-0584
Gabriele AnaniaDepartment of Medical Science, University of Ferrara, Ferrara, Italy.
Cristina FioraniMinimally Invasive and Gastrointestinal Surgery Unit, University of Rome Tor Vergata, Rome, Italy.ORCID 0000-0002-3188-3366
Leandro SiragusaDivision of Colon and Rectal Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0001-9218-1176
Danilo VinciDepartment of Surgical Science, Policlinico Tor Vergata-University Tor Vergata, Rome, Italy.
Marco CaricatoColorectal Surgery Unit, Università Campus Bio-Medico di Roma, Rome, Italy.
Paolo DelrioColorectal Surgical Oncology, Istituto per lo studio e la cura dei tumori 'Fondazione Giovanni Pascale IRCCS', Naples, Italy.
Antonino AgrusaDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italy.
Gianandrea BaldazziASST Ovest Milanese, P.O. Nuovo Ospedale di Legnano, Legnano, Italy.
Rossella ReddavidDepartment of Oncology, San Luigi University Hospital, University of Turin, Turin, Italy.
Gianluca PellinoVall d'Hebron University Hospital, Universitat Autonoma de Barcelona UAB, Barcelona, Spain.ORCID 0000-0002-8322-6421
RRoC-STAR Collaborative Group

Funding

Department of General Surgery, Universita´Tor Vergata
6 · The paper itself

Abstract

backgroundComplete 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.

methodsAuthors 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.

resultsOf 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.

conclusionThis 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.

Indexed as

ColectomyColonic NeoplasmsMesocolonDelphi TechniqueHumansLigationTerminology as Topic

Identifiers

PMID40503608
PMCPMC12159727

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.