National implementation of an optimal standardised technique for right-sided colon cancer: protocol of an interventional sequential cohort study (Right study) - Summary - MDSpire

National implementation of an optimal standardised technique for right-sided colon cancer: protocol of an interventional sequential cohort study (Right study)

  • By

  • Alexander A. J. Grüter

  • Usha K. Coblijn

  • Boudewijn R. Toorenvliet

  • Pieter J. Tanis

  • Jurriaan B. Tuynman

  • April 25, 2023

  • 0 min

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Objective:

To implement a standardised minimally invasive surgical technique for right-sided colon cancer without increasing the 90-day postoperative complication rate and to improve specific long-term oncological outcomes such as overall survival and disease-free survival.

Key Findings:
  • Substantial procedural variation in minimally invasive right hemicolectomy (MIRH) exists, as documented in existing literature.
  • High surgical quality is linked to better long-term survival in colorectal cancer patients, emphasizing the need for standardisation.
  • Standardisation and training can reduce in-hospital mortality, highlighting the importance of structured surgical education.
Interpretation:

The study aims to bridge the gap between current surgical practices and evidence-based guidelines by implementing a standardised technique, potentially enhancing patient outcomes through improved surgical consistency.

Limitations:
  • Variability in surgical practice may still exist despite standardisation; ongoing monitoring and feedback will be essential.
  • Dependence on the successful implementation of training programs; strategies will be developed to ensure comprehensive training and support.
Conclusion:

The study seeks to improve surgical outcomes for right-sided colon cancer through a structured approach to standardise MIRH techniques.

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