Definition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: a systematic review

Autor: Giuseppe S. Sica, Danilo Vinci, Leandro Siragusa, Bruno Sensi, Andrea M. Guida, Vittoria Bellato, Álvaro García-Granero, Gianluca Pellino
Přispěvatelé: Sica, Giuseppe S, Vinci, Danilo, Siragusa, Leandro, Sensi, Bruno, Guida, Andrea M, Bellato, Vittoria, García-Granero, Álvaro, Pellino, Gianluca, Institut Català de la Salut, [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, Vall d'Hebron Barcelona Hospital Campus
Rok vydání: 2022
Předmět:
Colorectal cancer
Colorectal surgery
Complete mesocolic excision
D3 lymphadenectomy
Right colectomy
intervenciones quirúrgicas::procedimientos quirúrgicos del sistema digestivo::colectomía [TÉCNICAS Y EQUIPOS ANALÍTICOS
DIAGNÓSTICOS Y TERAPÉUTICOS]
Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Colorectal Neoplasms::Colonic Neoplasms [DISEASES]
Otros calificadores::Otros calificadores::/cirugía [Otros calificadores]
Other subheadings::Other subheadings::/surgery [Other subheadings]
Settore MED/18
neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::neoplasias colorrectales::neoplasias del colon [ENFERMEDADES]
Surgical Procedures
Operative::Digestive System Surgical Procedures::Colectomy [ANALYTICAL
DIAGNOSTIC AND THERAPEUTIC TECHNIQUES
AND EQUIPMENT]
Surgery
Còlon - Càncer - Cirurgia
Zdroj: Scientia
ISSN: 1432-2218
0930-2794
Popis: Background 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.
Databáze: OpenAIRE
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