Miskovic, Danilo and Foster, Jake and Agha, Ayman and Delaney, Conor P. and Francis, Nader and Hasegawa, Hirotoshi and Karachun, Alexey and Kim, Seon Hahn and Law, Wai Lun and Marks, John and Morino, Mario and Panis, Yves and Patron Uriburu, Juan Carlos and Wexner, Steven D. and Parvaiz, Amjad (2015) Standardization of Laparoscopic Total Mesorectal Excision for Rectal Cancer A Structured International Expert Consensus. ANNALS OF SURGERY, 261 (4). pp. 716-722. ISSN 0003-4932, 1528-1140
Full text not available from this repository. (Request a copy)Abstract
Objective: To establish a structured international expert consensus on a detailed technical description of the laparoscopic total mesorectal excision (TME). Background: Laparoscopic TME is a common surgical approach for the treatment of rectal cancer, but there is little agreement on technical details and standards. Methods: Sixty leading surgical experts from 5 different world regions with a median overall experience of 250 laparoscopic TME participated in this study. Four stages of mixed quantitative and qualitative consensus-finding methods were applied. (1) Semistructured expert interviews were independently analyzed by 2 assessors. (2) Consensus on the interview data was reached using reiterating questionnaires (Delphi method). (3) This was further refined in an interactive workshop. (4) Based on this meeting, a comprehensive text was drafted and final approval was sought by all experts. Findings: Three theme categories were identified in 9 detailed interviews (anatomical landmarks, description of tissue retraction, and operating strategies). Following 2 rounds of a 54-item questionnaire, 29 items achieved very high agreement (A* >= 90%), 14 with good agreement (>= 80%), 13 with moderate agreement (>= 50%), and 18 with little or no agreement (<50%). In the workshop, areas of agreement were consolidated and conclusions were sought for those with less agreement. The final document was approved after 2 further rounds of surveys by all respondents. Conclusions: This detailed and agreed technical description of laparoscopic TME may have implications on training, assessment, quality control, and future research.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | COLORECTAL SURGERY; BOWEL PREPARATION; MEDICAL-RESEARCH; CLASICC TRIAL; MULTICENTER; SURVIVAL; colorectal surgery; consensus; expert; laparoscopic; rectal cancer; total mesorectal excision |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 22 Jul 2019 13:42 |
| Last Modified: | 22 Jul 2019 13:42 |
| URI: | https://pred.uni-regensburg.de/id/eprint/5733 |
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