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Standardized procedures and quality control in laparoscopic right hemicolectomy for right-sided colon cancer

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Author:
No author available
Journal Title:
Chinese Journal of Digestive Surgery
Issue:
6
DOI:
10.3760/cma.j.cn115610-20240507-00241
Key Word:
结肠肿瘤;右半结肠癌根治术;手术操作;标准化;质量控制;COLOR Ⅳ研究;Colonic neoplasms;Right hemicolectomy for right-sided colon cancer;Surgi-cal procedure;Standardization;Quality control;COLOR Ⅳ study

Abstract: Laparoscopic right hemicolectomy is currently the most commonly used surgical procedure for right-sided colon cancer.Although this procedure is maturing in terms of key tech-niques such as the extent of surgical resection,the extent of lymph node dissection,and the recons-truction of digestive tract,it still lacks a standardized surgical procedure and quality control system.In the pre-preparation phase of the COLOR Ⅳ study(an international,multicenter,randomized contro-lled trail comparing the efficacy of intracorporeal anastomosis versus extracorporeal anasto-mosis in laparoscopic right hemicolectomy for right-sided colon cancer),the research team of the authors formulates a standardized procedure for laparoscopic right hemicolectomy based on the Delphi survey,and develops a competency assessment tool for surgical ability and quality.Attempts are being made to automate the evaluation of surgical techniques using artificial intelligence.It is hoped that the above work will help colorectal surgeons to standardize surgical operations and reduce complications,provide support for the homogenization of multicenter clinical studies,and promote the implementation of structured training for this procedure.

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