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Standardisation of the definition of the types of oncological colectomy. Delphi method for consensus of experts of the Spanish association of surgeons

2024; Elsevier BV; Volume: 102; Issue: 9 Linguagem: Espanhol

10.1016/j.cireng.2024.05.012

2173-5077

Álvaro García‐Granero, Gonzalo Martı́n, Paula Dujovne‐Lindenbaum, C.J. Álvarez Laso, Carlos Cerdán Santacruz, Blas Flor‐Lorente, Sebastiano Biondo, Javier Díe Trill, P. Pascual Damieta, Emilio Peña Ros, Rosario Rodríguez, Montserrat Pujol, L. Gómez, Bienvenido Perez, Vincenzo Vigorita, Romano Colombari, T. Pérez Pérez, M.T. García Martínez, J. Bauxali, J. Cerdán, José García-Pérez, Beatriz Martín-Pérez, N. Uribe Quintana, R Coll, Xavier González-Argenté, Juan Carlos Bernal Sprekelsen, Doménico Fraccalvieri, Eduardo García‐Granero, Marcos Gómez Ruiz, Antonia Mercedes García Cabrera, Paolo Palma, Vicente Pla‐Martí, Silva Velasco, Francisco Blanco‐Antona, Alberto Parajó, G. Salgado, J. M. Vázquez Monchul, Juan Ocaña Jiménez, F. Jiménez‐Escobar, Marc Martí, J. M. Díaz Pavón, C. Salvador-Morales, Sebastiano Biondo, A. Espí, A. Solana‐Bueno, G. Marín, Carlos Pastor Idoate, E.D. Valle-Hernández, Patricia Tejedor, R. Alós Company, Tomás González Elosua, J Orgáz, Javier García Septiem, C. Ballester Ibánez, Matteo Frasson, J.V. Hernandis Villalba, Isabel Pascual, Juan Manuel García-González, Marta Jiménez‐Toscano, J.A. Benavides Buleje, José M. Enríquez–Navascués, M.L. Diaz, Mònica Millán, Luis Sánchez‐Guillén, J.V. Roig Vila, P.A. Parra-Baños, C. Fernánde, R. Cantero-Cid, N Alonso, E.M. Nogués-Ramia, S. Serra, Marta Climent-Agustín, Franco Marinello, David Moro‐Valdezate, Ricardo Frago, Eloy Espín, Miguel Pera-Román, C.J. Álvarez Laso, C. Placer-Galan, M. Labalde Martínez, Juan García-Armengol, Andreu Fernández‐Codina, Luis-Cristóbal Capitán-Morales, Julio García‐Aguilar, José María Fernández‐Cebrián, María Fernández-Hevia, Luis Flórez, Gianluca Pellino, Carlos Martínez‐Pérez, Francisco Fernández López,

Anorectal Disease Treatments and Outcomes

There is no international consensus on the definition of the type of oncological resection that corresponds to each of the colectomies existing in the current literature. The objective is to define for each colectomy described in the literature: embryological dissection plane, vascular pedicles in which to perform central ligation, the extent of the colectomy, and the need for resection of the greater momentum. A consensus of experts is carried out through the Delphi methodology through two rounds from the Coloproctology Section of the Spanish Association of Surgeons. Study period: November 2021-January 2023. 120 experts were surveyed. Degrees of consensus: Very strong: >90%, Strong: 80-90%, Moderate: 50-80%, No consensus: 90%, Fuerte: 80-90%, Moderado: 50-80%, No consenso: <50%. La definición para cada colectomía oncológica quedó establecida mediante recomendaciones muy fuertes y fuertes. Colectomías definidas: hemicolectomía derecha (HCD), HCD con linfadenectomía D3, HCD-ampliada, colectomía segmentaria de colon transverso, resección segmentaria ángulo esplénico, colectomía subtotal, total, hemicolectomía izquierda (HCI), HCI-ampliada y sigmoidectomía.