Continuous improvement in the standardization of laparoscopic D3 dissection in patients undergoing laparoscopic colectomy for right colon cancer

doi:10.3877/cma.j.issn.1674-3946.2024.01.001

Abstract

Abstract:

Laparoscopic right colectomy (LRC) for colon cancer has evolved from pure organ resection, to radical resection based on vascular anatomy, to D3 lymph node dissection and complete mesocolic excision (CME) based on membrane anatomy. Although the surgical technique is becoming more mature, the procedure is difficult and controversial in details such as the choice of anastomosis, and the surgical procedure is yet to be further standardized. The homogeneity of the surgical technique is the key to multicenter surgical research. Based on the results of the 2 rounds of the Delphi survey conducted during the preparatory phase of the COLOR Ⅳ study (a multicenter randomized clinical trial comparing intracorporeal and extracorporeal ileocolic anastomosis after LRC for colon cancer) , the author's team discussed the standardized procedure and quality control points for LRC. And a competency assessment tool (CAT) for right colon cancer surgery was ultimately developed. This article will discuss the process and key steps of this procedure. It is hoped that this will help international colorectal surgeons to standardize surgical operations, reduce surgical complications, support the homogenization of multicenter clinical studies, and promote the implementation of structured training for this procedure.

Key words: Colonic Neoplasms, Radical Right Colectomy, Quality Control, Clinical Study

Hongwei Yao, Pengyu Wei, Jiale Gao, Zhongtao Zhang. Continuous improvement in the standardization of laparoscopic D3 dissection in patients undergoing laparoscopic colectomy for right colon cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 1-4.

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