Global Benchmarks for Minimal-Invasive Right Hemicolectomy in Adenocarcinoma Article Swipe
Fariba Abbassi
,
Michaela Ramser
,
Matthias Pfister
,
Roxane D. Staiger
,
Sang Jin Kim
,
M J Kim
,
B C T van de Laar
,
Marcos González
,
Vittoria Perano
,
G Camilleri
,
David Merino
,
Justin Dourado
,
A Wignakumar
,
N de Silva
,
Kohei Shigeta
,
Tomás Mansur Duarte de Miranda Marques
,
Daniel Léonard
,
Kye Young Lee
,
Avanish Saklani
,
Kieran Brown
,
Fabio Butti
,
Ivana Raguz
,
Carlo Alberto Schena
,
Daichi Kitaguchi
,
D. C. Winter
,
Masaaki Ito
,
Nicola de’Angelis
,
Dieter Hahnloser
,
James Vu
,
Ashwin Desouza
,
Bei En Siew
,
Ker‐Kan Tan
,
Alex Kartheuser
,
Samuel Aguiar
,
Koji Okabayashi
,
Carl J. Brown
,
S. D. Wexner
,
Sebastiano Biondo
,
Danilo Mišković
,
Antonino Spinelli
,
Carlos Vaccaro
,
Esther C. J. Consten
,
Jin Woo Park
,
Byung Soh Min
,
Milo A. Puhan
,
Marko Turina
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/bjs/znaf092.051
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/bjs/znaf092.051
Background Oncologic right hemicolectomy (rHC) remains the only curative treatment for right-sided colon cancer. Despite its increasing complexity, this procedure is not centralized in many countries, underscoring the need for rigorous assessment and continuous improvement in surgical quality. Benchmarking is a validated quality improvement tool. By defining best achievable outcomes as reference (i.e. benchmarks), it enables centers to evaluate their performance and identify weaknesses or areas for improvement. Aims This analysis aimed to establish benchmarks for outcome parameters in minimal-invasive rHC. Methods We analyzed data from consecutive patients with adenocarcinoma of the colon who underwent minimal-invasive rHC between July 2017 and June 2022 at 19 expert centers across five continents. Ideal cases were defined as elective surgeries for cT1-T3 tumors without distant metastases, major comorbidities, or significant prior abdominal surgeries. Benchmarks were derived for 19 clinically relevant surgical outcomes, including perioperative and oncological parameters, procedure-specific complications, overall morbidity, and mortality. Benchmarks were set at the 75th percentile for negative outcomes and the 25th percentile for positive outcomes across all centers’ medians. Results Among 3154 patients, 686 (22%) qualified as ideal. The proportion of ideal cases varied widely across centers (range: 2 – 51%). Key benchmarks at 3 months were overall morbidity ≤38%, major (Clavien-Dindo ≥3a) complications ≤8%, and 0% mortality. Procedure-specific benchmarks were anastomotic leak ≤3%, and deep surgical site infections ≤6%. Finally, oncologic benchmarks included R0 resection rates 100% and ≥12 lymph nodes harvested ≥96.9%. Ideal compared to non-ideal patients and centers performing ≥500 cases compared to <500 cases annually demonstrated superior outcomes. Conclusion This study demonstrates that, despite its complexity, minimally invasive rHC can be performed with low morbidity and high oncological accuracy. The established benchmarks provide a reference for centers striving to achieve excellence in this procedure.
Related Topics
Concepts
Medicine
Right hemicolectomy
Adenocarcinoma
Hemicolectomy
General surgery
Internal medicine
Cancer
Colorectal cancer
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/bjs/znaf092.051
- https://academic.oup.com/bjs/article-pdf/112/Supplement_7/znaf092.051/63197426/znaf092.051.pdf
- OA Status
- bronze
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4410447443
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4410447443Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/bjs/znaf092.051Digital Object Identifier
- Title
-
Global Benchmarks for Minimal-Invasive Right Hemicolectomy in AdenocarcinomaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-05-01Full publication date if available
- Authors
-
Fariba Abbassi, Michaela Ramser, Matthias Pfister, Roxane D. Staiger, Sang Jin Kim, M J Kim, B C T van de Laar, Marcos González, Vittoria Perano, G Camilleri, David Merino, Justin Dourado, A Wignakumar, N de Silva, Kohei Shigeta, Tomás Mansur Duarte de Miranda Marques, Daniel Léonard, Kye Young Lee, Avanish Saklani, Kieran Brown, Fabio Butti, Ivana Raguz, Carlo Alberto Schena, Daichi Kitaguchi, D. C. Winter, Masaaki Ito, Nicola de’Angelis, Dieter Hahnloser, James Vu, Ashwin Desouza, Bei En Siew, Ker‐Kan Tan, Alex Kartheuser, Samuel Aguiar, Koji Okabayashi, Carl J. Brown, S. D. Wexner, Sebastiano Biondo, Danilo Mišković, Antonino Spinelli, Carlos Vaccaro, Esther C. J. Consten, Jin Woo Park, Byung Soh Min, Milo A. Puhan, Marko TurinaList of authors in order
- Landing page
-
https://doi.org/10.1093/bjs/znaf092.051Publisher landing page
- PDF URL
-
https://academic.oup.com/bjs/article-pdf/112/Supplement_7/znaf092.051/63197426/znaf092.051.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
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https://academic.oup.com/bjs/article-pdf/112/Supplement_7/znaf092.051/63197426/znaf092.051.pdfDirect OA link when available
- Concepts
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Medicine, Right hemicolectomy, Adenocarcinoma, Hemicolectomy, General surgery, Internal medicine, Cancer, Colorectal cancerTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- Related works (count)
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10Other works algorithmically related by OpenAlex
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