doi: 10.1097/DCR.0000000000003739.
Epub 2025 Apr 11.
Standardizing the Definition of Each Colon Cancer Segment: Delphi Consensus on Clinical Decision-Making for Oncologic Outcomes
Mehmet Ayhan Kuzu
1
, Cigdem Benlice
1
, Amjad Parvaiz
2
, Emre Gorgun
3
, Claus A Bertelsen
4
, Steven Wexner
5
, Eric J Dozois
6
, Werner Hohenberger
7
, Danilo Miskovic
8
, Konichi Sugihara
9
, Antonino Spinelli
10
, Theo Wiggers
11
, Woo Yong Lee
12
, Gabriela Möslein
13
, Petr Tsarkov
14
, Eloy Espin Basany
15
, Juan Carlos Patron Uriburu
16
, Rodrigo Olivia Perez
17
, Craig Lynch
18
, Zheng Liu
19
, Dieter Hahnloser
20
, Per J Nilsson
21
, Nisar Ahmad Chowdri
22
, Gina Brown
23
, Philippe Rouanet
24
, Robert D Madoff
25
, Nick P West
26
, Turgut Sahin
27
, Atilla Halil Elhan
28
, Liliana G Bordeianou
29
; Colon Cancer Delphi Consensus Study Group
Collaborators,
Affiliations
Collaborators
-
Colon Cancer Delphi Consensus Study Group:
Mario Abedrapo 30 , Michel Adamina 31 , Julio Garcia Aguilar 32 , Felix Aigner 33 , Rustem Aiupov 34 , Cihangir Akyol 35 , Emad H Aly 36 , Edgar Amorim 37 , Per Vadgaard Andersen 38 , Koji Ando 39 , Sergio Eduardo Alonso Araujo 40 , Dan Asplund 41 , Sam Atallah 42 , Nicolas Avellaneda 43 , Jose Azevedo 44 , Bilgi Baca 45 , Junge Bai 46 , Vladimir Balaban 47 , Joerg Baral 48 , Ovunc Bardakcioglu 49 , Kevin Behm 50 , H J Belgers 51 , Claudia Benecke 52 , Stinner Benno 53 , Stefan Benz 54 , Roberto Bergamaschi 55 , David L Berger 56 , Paolo Pietro Bianchi 57 , Sebastiano Biondo 58 , Luigi Boni 59 , Dursun Bugra 60 , Lars Bundgaard 61 , Chris Byrne 62 , Michele Carvello 63 , Manish Chand 64 , Min Hoe Chew, Francis Seow Choen 65 , Isbert Christoph 66 , Soon Sup Chung 67 , William C Cirocco 68 , Jessica Cohan 69 , Esther Cj Consten 70 , Eddy Cotte 71 , Peter Coyne 72 , Rogier Crolla 73 , Roland Croner 74 , Miguel Cunha 75 , André D'Hoore 76 , Francisco Marques Dacanal 77 , María Dolores Daneri, Jennifer S Davids 78 , Justin Davies 79 , Nicolò de Manzini 80 , Johannes H W de Wilt 81 , Teresa deBeche-Adams 82 , Jan Willem Dekker 83 , Color P Delaney 84 , Paolo Delrio 85 , Elizabeth Dennett 86 , Rafael Dienstmann Dutra Vila 87 , Christoforidis Dimitri 88 , Khasan Dzhumabaev 89 , Anders H Elliot 90 , İsmail Cem Eray 91 , Dmitrii Erygin, Charles Evans 92 , Seraina Faes 93 , Jean-Luc Faucheron 94 , Dmitriy Feoktistov, Laura M Fernandez 95 , Alessandro Fichera 96 , Rebecca Fish 97 , James Fleshman 98 , Phillip Fleshner 99 , Caterina Fobba 100 , Joakim Folkesson 101 , Garrett Friedman 102 , Frank Frizelle 103 , Alois Fuerst 104 , Wolfgang Gaertner 105 , José-María García-González 106 , Pechlivanides Georgios 107 , Popeskou Sotirios Georgios 108 , Dapri Giovanni 109 , Joel Goldberg 110 , Nikolaos Gouvas 111 , Fabian Grass 112 , Jörn Gröne 113 , Meurette Guillaume 114 , Hirotoshi Hasegawa 115 , Suguru Hasegawa 116 , Wolf Heitland 117 , Ramzi Helewa 118 , Peter Hewett 119 , Koya Hida 120 , Art Hiranyakas 121 , Torbjörn Holm 122 , Roel Hompes 123 , Shenghui Huang 124 , Tracy Hull 125 , Soichiro Ishihara 126 , Ozgen Isik 127 , Seung-Yong Jeong 128 , Luis-Miguel Jimenez-Gomez 129 , Zdeněk Kala 130 , Matthew F Kalady 131 , Sung-Bum Kang 132 , Aleksei Karachun 133 , Tayfun Karahasanoğlu 134 , Andreas Karlsen 135 , Kazushige Kawai 136 , Deborah S Keller 137 , Scott R Kelley 138 , Mohammad Reza Keramati 139 , Tak Loon Khong 140 , I K Yong Kim 141 , Ji Yeon Kim 142 , Seon Hahn Kim 143 , Yusuke Kinugasa 144 , Jakob Kleif 145 , Kunal Kochar 146 , Cherry Koh 147 , Thomas Kolbro 148 , Jozef Korcek 149 , Mykhailo Kunychka 150 , Zaher Lakkis 151 , Ron G Landmann 152 , Sean Langenfeld 153 , Jorge Andrés Larach 154 , Marcelo Laurini 155 , Grace C Lee 156 , Suk-Hwan Lee 157 , Maggiori Leon 158 , David Liska 159 , Uffe Schou Løve 160 , Kirk A Ludwig 161 , Ivan Majesky 162 , Nikolay Makhotin 163 , Marcelo Viola Malet 164 , Zaman Zaur Mamedli 165 , Peter Marcello 166 , Jorge Marcet 167 , Eric Marderstein 168 , Lubomir Martinek 169 , Adrian Mattacheo 170 , Klaus Matzel 171 , Justin Maykel 172 , Diane Mege 173 , Asif Mehraj 174 , Anders Mellgren 175 , Kurt Melstrom 176 , Jeremy Meyer 177 , Rohin Mittal 178 , Isacco Montroni 179 , Salvador Morales-Conde 180 , Susan Moug 181 , Takeshi Naitoh 182 , Paola De Nardi 183 , Anders Ulrich Neuenschwander 184 , Aleksei Nevolskikh 185 , James Chi-Yong Ngu 186 , Joost Nooner 187 , Joseph William Nunoo-Mensah 188 , Eiji Oki 189 , Fábio Henrique de Oliveira 190 , Guy R Orangio 191 , Ana Otero 192 , Ersin Oztürk 193 , Gokhan Ozuner 194 , Guilherme São Julião Pagin 195 , Emmanouil Pappou 196 , Ian M Paquette 197 , Ji Won Park 198 , Youn Young Park 199 , Craig Parnaby 200 , Fazlul Qadir Parray 201 , Marta Pascual 202 , Filip Pazdírek 203 , William Perry 138 , Frank Pfeffer 204 , Alon Pikarsky 205 , Stephen H Pillinger 206 , Vicente Pla-Martí 207 , Joseph M Plummer 208 , Vitaliy Poylin 209 , Augustín Prochotský 210 , Denost Quentin 211 , Sana Qureshi 212 , Fernanda Elias Ferreira Rabelo 213 , George Ramsay 214 , Arsen Rasulov 215 , Thomas E Read 216 , Ahmet Rencuzogullari 60 , Andreas Rink 217 , David E Rivadeneira 218 , David R Rosen 159 , Gustavo Rossi 219 , Nicolas Rotholtz 220 , Kristen Rumer 221 , Evgeny Rybakov 222 , Matteo Sacchi 223 , Peter Sagar 224 , Yoshiharu Sakai 225 , Avanish Saklani 226 , Deborah Saraste 227 , Gerald Seitinger 228 , Isaac Seow-En 229 , Ramakrishnan Ayloor Seshadri 230 , Gustavo Sevá-Pereira 231 , Sherief Shawki 232 , Dai Shida 233 , Parul Shukla 234 , Noam Shussman 235 , Colin Sietses 236 , Gavin Sigle 237 , Iain Skinner 238 , Matej Skrovina 239 , Michael Solomon 240 , Toyooki Sonoda 241 , Constantine P Spanos 242 , Kurt Van der Speeten 243 , Michael J Stamos 244 , Konstantinos Stamou 245 , Laurents P S Stassen 246 , Adam Stearns 247 , Scott R Steele 159 , Sigmar Stelzner 248 , Luca Stocchi 249 , Kristian Eeg Storli 250 , Sarah Stringfield 251 , Scott Strong 252 , Oleg Sushkov 253 , Pasithorn Suwanabol 254 , Chikako Suzuki 255 , Patricia Sylla 256 , Pieter J Tanis 257 , Emile John Tan 258 , Alan Thorson 259 , Boudewijn R Toorenvliet 260 , John Tsiaoussis 261 , George Tzovaras 262 , Kay Uehara 263 , Hideki Ueno 264 , Jun Won Um 265 , Juraj Váňa 266 , Pedro Vieira 44 , Valery Vilchez 267 , Jon Vogel 268 , Haijiang Wang 269 , Xishan Wang 270 , Zhenning Wang 271 , Rauf Wani 272 , Satish Warrier 273 , Klaus Weber 274 , Kneist Werner 275 , Mark H Whiteford 276 , Arne Wibe 277 , Albert Wolthuis 278 , Evangelos Xynos 279 , Shigeki Yamaguchi 280 , Tayfun Yoldas 281 , Yves Panis 282 , David D E Zimmerman 283 , Brunner Walter 284
Affiliations
- 1 Department of General Surgery, School of Medicine, Ankara University, Ankara, Turkey.
- 2 Champalimaud Cancer Foundation, Lisbon, Portugal.
- 3 Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.
- 4 Department of Surgery, Copenhagen University Hospital - North Zealand, Hillerød, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
- 5 Division of Colorectal Surgery, Cleveland Clinic, Jacksonville, Florida.
- 6 Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota.
- 7 Universitatsklinikum Erlangen, Erlangen, Germany.
- 8 Consultant Colorectal Surgeon, St Mark's Hospital, London, United Kingdom.
- 9 Tokyo Medical and Dental University, Tokyo, Japan.
- 10 Department of Biomedical Sciences, Humanitas University, and IRCCS Humanitas Research Hospital, Division of Colon and Rectal Surgery, Milan, Italy.
- 11 Department of Surgery, University Medical Center Groningen, Groningen, the Netherlands.
- 12 Samsung Medical Center, Seoul, South Korea.
- 13 Director, Center for Hereditary Tumors, BETHESDA Khs., Duisburg, Germany.
- 14 First Moscow State Medical University, Sechenov University, Moscow, Russia.
- 15 Head of colorectal surgery unit / General Surgery Department, Institució del Campus, Barcelona Hospital Campus, Barcelona, Spain.
- 16 Head of the Coloproctology Service. British Hospital of Buenos Aires, Buenos Aires, Argentina.
- 17 Hospital Alemão Oswaldo Cruz, São Paulo, Brasil.
- 18 Sydney Adventist Hospital, Wahroonga, Australia.
- 19 Department of Colorectal Surgery, National Cancer Center, National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, People's Republic of China.
- 20 University Hospital Lausanne, Lausanne, Switzerland.
- 21 Dept. of Pelvic Cancer, Div. Coloproctology, Karolinska University Hospital, Stockholm, Sweden.
- 22 Head Colorectal Division, Department of General and Minimal Access Surgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India.
- 23 Professor of Gastrointestinal Cancer Imaging, Imperial College London, London, United Kingdom.
- 24 Montpellier Cancer Institute, Department of Surgery, Montpellier, France.
- 25 Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota.
- 26 Pathology and Data Analytics, University of Leeds, Leeds, United Kingdom.
- 27 Cankiri State Hospital, Cankiri, Turkey.
- 28 Department of Biostatistics, Faculty of Medicine, Ankara University, Ankara, Turkey.
- 29 Department of Surgery, Section of Colorectal Surgery, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts.
- 30 Department of Surgery, Clinical Hospital University of Chile.
- 31 Kantonsspital Winterthur & University of Basel, Switzerland.
- 32 Memorial Sloan Kettering Cancer Center, US.
- 33 St. John of God Hospital Graz, Marschallgasse 12, Austria.
- 34 Republican Oncological Centre, Ufa, Russia.
- 35 Department of General Surgery, University of Ankara.
- 36 Consultant Colorectal & General Surgeon - Aberdeen Royal Infirmary, University of Aberdeen, Scotland.
- 37 Centro hospitalar do Algarve.
- 38 Department of Surgery, Odense University Hospital, Denmark.
- 39 National Cancer Center Hospital East, Kashiwa, Japan.
- 40 Hospital Israelita Alert Einstein, São Paulo, Brasil.
- 41 Sahlgrenska University Hospital, Gothenburg, Sweden.
- 42 Advent Health Care System, US.
- 43 General Surgery Department and Academic Investigations Unit, CEMIC University Hospital, Argentina.
- 44 Champalimaud Foundation.
- 45 Department of General Surgery, Acibadem University, Turkey.
- 46 Department of Colorectal Surgery, National Cancer Center, Beijing, China.
- 47 Sechenov University.
- 48 Leiter Sektion kolorektale Chirurgie und Proktologie, EBSQ Coloproctology Klinikum Karlsruhe.
- 49 UNLV.
- 50 Mayo Clinic, US.
- 51 Zuyderland Medical Center.
- 52 UKSH.
- 53 Elbe Klinikum Stade.
- 54 Klinikin Boeblingen.
- 55 Chief of Colorectal Surgery & Surgical Oncology, New York City Health & Hospitals, Jacobi Medical Center, New York, NY, USA.
- 56 Massachusetts General Hospital, Harvard Medical School, USA.
- 57 University of Milano. Ospedale San Paolo. Milano, Italy.
- 58 Bellvitge University Hospital. Department of General and Digestive Surgery. University of Barcelona, Spain.
- 59 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Italy.
- 60 Koç University School of Medicine, Istanbul, Turkey.
- 61 Lillebaelt Hospital, Vejle.
- 62 RPAH.
- 63 Humanitas research hospital.
- 64 UCL.
- 65 Seow-Choen Colorectal Centre.
- 66 Ev. Amalie Sieveking-Hospital Immanuel Albertinen, Teaching Hospital University Hamburg, Germany.
- 67 Ewha Womans University, Korea.
- 68 Ochsner Health, New Orleans, Louisiana, US.
- 69 University of Utah.
- 70 Department of Surgery at University Medical Center (UMCG), Groningen and Meander, Medical Center in Amersfoort, The Netherlands.
- 71 Department of digestive and oncological surgery, Lyon-Sud Hospital, Lyon, France.
- 72 RVI, Newcastle.
- 73 Consultant Colorectal Surgeon Amphia.
- 74 Department of Surgery, University Hospital Magdeburg.
- 75 Algarve University Hospital - Portimao.
- 76 UZ Leuven.
- 77 Moinhos de Vento Hospital, Santa Casa de Misericórdia de Porto Alegre e Hospital Mãe de Deus.
- 78 Section of Colon and Rectal Surgery Department of Surgery, Boston Medical Center, US.
- 79 1. Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK; University of Cambridge, Cambridge, UK.
- 80 Department of Medical Surgical and Health Sciences, University of Trieste, Italy.
- 81 "Radboud University Medical Center, Department of Surgery.
- 82 Advent Health Orlando, US.
- 83 Reinier de Graaf Gasthuis, Delft, Netherlands.
- 84 Cleveland Clinic Florida, US.
- 85 Colorectal Surgical Oncology - Istituto Nazionale Per Lo Studio E La Cura Dei Tumori, "Fondazione Giovanni Pascale Irccs-Italia", Naples, Italy.
- 86 University of Otago, Wellington, New Zealand.
- 87 MÃE DE DEUS HOSPITAL, Porto Alegre city, Brazil.
- 88 Lugano Hospital & University Hospital of Lausanne (CHUV).
- 89 N.N. Blokhin Russian Cancer Research Center.
- 90 "Affiliation 1: Department of Molecular Medicine and Surgery, Karolinska Institutet. Affiliation 2: Division of Colorectal Surgery, Center for Pelvic Cancer, Karolinska University Hospital, Stockholm, Sweden.
- 91 Cukurova University.
- 92 University Hospitals of Coventry and Warwickshire.
- 93 City Hospital Zurich.
- 94 Colorectal Unit, Department of Surgery, Grenoble Alpes University Hospital.
- 95 Colorectal surgery department. Champalimaud Foundation, Lisbon, Portugal.
- 96 Baylor University Medical Center.
- 97 The Christie NHS Foundation Trust.
- 98 Texas A&M College of Medicine.
- 99 Division Of Colorectal Surgery; Cedars-Sinai Medical Center, US.
- 100 Humanitas University.
- 101 Associate Professor of Surgery, Dep. of Surgical Sciences, Uppsala University Uppsala, Sweden.
- 102 Las Vegas Complex Surgical Specialists.
- 103 Professor of Surgery, Otago University, Clinical Director of General Surgery, Canterbury and West Coast, New Zealand, The New Zealand Medical Journal.
- 104 Klinik für Allgemein-, Viszeral-, Thoraxchirurgie, Adipositasmedizin Caritas-Krankenhaus, Regensburg, Germany.
- 105 University of Minnesota, US.
- 106 Colorectal Surgery Unit, Department of General and Digestive Surgery, University of the Basque Country UPV/EHU, Cruces University Hospital, Barakaldo (Bizkaia), Spain.
- 107 Metropolitan Hospital.
- 108 Lugano Regional Hospital.
- 109 International School Reduced Scar Laparoscopy, Minimally Invasive General & Oncologic Surgery Center, Humanitas Gavazzeni University Hospital, Bergamo, Italy.
- 110 Harvard Medical School.
- 111 Medical School - University of Cyprus.
- 112 Lausanne University Hospital CHUV.
- 113 Department of Surgery, St. Joseph Krankenhaus Berlin, Germany.
- 114 Hôpitaux universitaires de Geneve.
- 115 Tokyo Dental College Ichikawa General Hospital.
- 116 Fukuoka University, Japan.
- 117 former head surgeon, Department of Viszeral Surgery, Hospital Munich Bogenhausen, Germany.
- 118 Department of Surgery, University of Manitoba, Canada.
- 119 The Queen Elizabeth Hospital Adelaide South Australia.
- 120 Kyoto University Hospital.
- 121 Bangkok Hospital Group.
- 122 Karolinska Institutet.
- 123 Amsterdam UMC.
- 124 Fujian Medical University Union Hospital.
- 125 Department of Colon and Rectal Surgery, Cleveland Clinic Cleveland, Ohio.
- 126 Department of Surgical Oncology, The University of Tokyo, Japan.
- 127 Bursa Uludag University School of Medicine.
- 128 Seoul National University College of Medicine.
- 129 Colorectal Unit. Hospital General Universitario Gregorio Marañón, Madrid, Spain.
- 130 Dept. of Surgery, Faculty of Medicine. Masaryk University, Brno, Czech Republic.
- 131 Ohio State University.
- 132 Seoul National University Bundang Hospital.
- 133 National Medical Research Center of Oncology na N.N. Petrov, Ministry of Healthcare of Russian Federation.
- 134 Acibadem University.
- 135 North Zealand Hospital, hillerød, Denmark.
- 136 Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital.
- 137 Lankenau Medical Center, US.
- 138 Mayo Clinic Foundation, US.
- 139 Tehran University of Medical Sciences.
- 140 University Malaya Medical Centre.
- 141 Yonsei university Wonju College of Medicine.
- 142 Chungnam National University Hospital.
- 143 Department of Surgery, Universiti Malaya.
- 144 Department of Gastrointestinal Surgery, Tokyo Medical and Dental University.
- 145 Department of Surgery, Copenhagen University Hospital, North Zealand.
- 146 University of Illinois, Chicago, USA.
- 147 Royal Prince Alfred Hospital.
- 148 OUH University Hospital Odense, Denmark.
- 149 Surgical Clinic, Teaching Hospital Nitra, Slovak Republic.
- 150 FNsP Žilina, Slovak Republic.
- 151 Department of Digestive Surgery, University Hospital of Besançon, France.
- 152 Baptist-MD Anderson Cancer Center, USA.
- 153 University of Nebraska Medical Center.
- 154 Clinica Alemana, Santiago Chile.
- 155 Médica Uruguaya.
- 156 Massachusetts General Hospital, Boston, MA, USA.
- 157 Kyung Hee University Hospital at Gangdong.
- 158 Digestive surgery department, hopital saint louis, APHP, Paris.
- 159 Department of Colorectal Surgery, DDSI, Celeveland Clinic, Cleveland, Ohio, US.
- 160 Department of Surgery, Viborg Regional Hospital, Denmark.
- 161 Medical College of Wisconsin, Milwaukee, WI, US.
- 162 University Hospital Bratislava.
- 163 Regional Oncological Hospital, Ekaternburg, Russian Federation.
- 164 Head of the Department of Surgery at Médica Uruguaya.
- 165 Russian Cancer Research Center.
- 166 Lahey Hospital & Medical Center.
- 167 University of South Florida/Tampa General Hospital.
- 168 Case Western Reserve School of Medicine, Northeast Ohio VA Healthcare System.
- 169 Head of Department of Surgery, Univesity Hospital Ostrava, Czech Republic.
- 170 Hospital J. M. Ramos Mejía.
- 171 Departement of Surgery, University Erlangen.
- 172 UMass Memorial.
- 173 Aix Marseille Univ, APHM, Department of Digestive Surgery, Timone University Hospital, 264 rue Saint-Pierre, 13005, Marseille, France.
- 174 Government Medical College, Srinagar, India.
- 175 UIC.
- 176 City of Hope Medical Center. Duarte, California.
- 177 Division of Digestive Surgery, University Hospitals of Geneva, Switzerland.
- 178 Christian Medical College, Vellore.
- 179 Ospedale S. Maria delle Croci Ravenna.
- 180 Department of General and Digestive Surgery. University Hospital Virgen Macarena (Sevilla). University of Sevilla, Spain.
- 181 Royal Alexandra Hospital, Paisley and Golden Jubilee University National Hospital, Clydebank, Scotland.
- 182 Kitasato University Hospital.
- 183 San Raffaele Hospital.
- 184 Department of Surgery, Copenhagen University Hospital - North Zealand, 3400 Hillerød, Denmark.
- 185 A. Tsyb Medical Radiological Research Centre- branch of National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation.
- 186 Department of Surgery, Changi General Hospital.
- 187 Ikazia.
- 188 King's College Hospital, London, UK & Cleveland Clinic London, London, UK.
- 189 Kyushu University.
- 190 chief of colorectal surgery departament of São João de Deus Health Complex, Divinópolis, Minas Gerais, Brazil.
- 191 LSU Health Science Center, New Orleans.
- 192 Hospital Clinic, Barcelona.
- 193 Bursa Medicana Hospital, Turkey.
- 194 Arnot Health, New. York, US.
- 195 Angelita & Joaquim Gama Institute.
- 196 Colorectal Surgery Service, Memorial Sloan Kettering Cancer Center, NY, Weill Cornell Medical College.
- 197 University of Cincinnati College of Medicine.
- 198 Seoul National University Hospital.
- 199 Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University.
- 200 NHS Grampian.
- 201 Sher -i- Kashmir Institute of Medical Sciences,Soura,Srinagar, JK, India.
- 202 Chief of Colorectal Surgery at Hospital del Mar, Barcelona.
- 203 Surgery department, 2nd Medical faculty, Motol University Hospital, Charles University.
- 204 Haukeland University Hospital, Bergen, Norway.
- 205 hadassha medical center.
- 206 Sydney Adventist Hospital.
- 207 Hospital Clinico Universitario de Valencia (Spain).
- 208 Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Mona, Kingston, Jamaica.
- 209 Northwestern Medicine.
- 210 Department of Surgery Commenius University Bratislava Hospital, Bratislava, Slovak Republic.
- 211 Bordeaux Colorectal Institute.
- 212 Pomona Valley Hospital Medical Center.
- 213 Brasil.
- 214 Health Services Research Unit, University of Aberdeen.
- 215 Head of the colorectal cancer department of "MD group" hospital, Moscow, Russia.
- 216 University of Florida College of Medicine.
- 217 Essen University Hospital, Dept. of General, Visceral and Transplant Surgery.
- 218 Physician-In-Chief, Clinical Strategic Initiatives, Eastern Region Northwell Health Director, Northwell Health Cancer Institute at Huntington Professor of Surgery Donald & Barbara Zucker School of Medicine at Hofstra/Northwell.
- 219 Hospital Italiano de Buenos Aires, Argentina.
- 220 Hospital Aleman Buenos Aiures.
- 221 Mayo Clinic Foundation.
- 222 Ryzhikh National Medical Research Center of Coloproctology.
- 223 Humanitas Research Hospital IRCCS.
- 224 Leeds Teaching Hospitals.
- 225 Red Cross Hospital Osaka, Japan.
- 226 Tata Memorial Hospital.
- 227 Södersjukhuset, Stockholm.
- 228 St.John of God Hospital Graz, Austria.
- 229 Department of Colorectal Surgery, Singapore General Hospital.
- 230 Professor of Surgical Oncology (GI & HPB services), Cancer Institute (WIA), Chennai, India.
- 231 Mario Gatti City Hospital, Campinas, Brazil.
- 232 Mayo Clinic Foundation, USA.
- 233 Division of Frontier Surgery, The Institute of Medical Science, The University of Tokyo.
- 234 Northwell Health; Lenox Hill Hospital.
- 235 Department of Surgery, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel.
- 236 Ziekenhuis Gelderse Vallei.
- 237 St. Petersburg Colon and Rectal Surgery, HCA Healthcare.
- 238 Mercy Health.
- 239 Departement of Surgery. Hospital and Oncological Centre Novy Jicin, Czech Republic.
- 240 University of Sydney.
- 241 NYU Langone Long Island Hospital.
- 242 Professor of Surgery, Aristotelian University, Thessaloniki, Greece.
- 243 Hasselt University.
- 244 "Dean, School of Medicine, University of California, Irvine (UCI, Irvine, CA).
- 245 Mitera Hospital.
- 246 Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
- 247 Dept of Colorectal Surgery, Norfolk & Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, UK.
- 248 Department of Visceral, Transplant, Thoracic, and Vascular Surgery, University Hospital of Leipzig, Leipzig, Germany.
- 249 Mayo Clinic Florida, Jacksonville FL, USA.
- 250 University of Bergen, Haraldsplass Deaconess Hospital.
- 251 Baylor University Medical Center, Dallas, Texas, USA.
- 252 Northwestern Medicine, IL, USA.
- 253 Ryzhikh National Medical Research Centre for Coloproctology of the Ministry of Health of Russia.
- 254 University of Michigan.
- 255 Department of Diagnostic Radiology, Södersjukhuset, Karolinska Institute,Stockholm Sweden.
- 256 Mount Sinai Hospital, New York, US.
- 257 Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus Medical Centre, Rotterdam, the Netherlands.
- 258 Singapore General Hospital.
- 259 Creighton University School of Medicine/University of Nebraska College of Medicine.
- 260 Ikazia Hospital, Rotterdam, the Netherlands.
- 261 Department of Anatomy, School of Medicine, University of Crete, Voutes Campus, Crete, Greece.
- 262 University Hospital of Larissa, Greece.
- 263 Deoartment of Gastroenterology, Nippon Medical School.
- 264 Department of Surgery, National Defense Medical College.
- 265 Korea University Ansan Hospital.
- 266 primár chirurgického oddelenia, FNsP Žilina.
- 267 University of California at Irvine.
- 268 University of Colorado, USA.
- 269 Cancer Hospital Affiliated to Xinjiang Medical University.
- 270 Cancer Hospital Chinese Academy of Medical Sciences.
- 271 China medical university.
- 272 SKIMS.
- 273 Peter MacCallum Cancer Centre.
- 274 University Hospital Erlangen, Germany.
- 275 Klinikum Darmstadt, Germany.
- 276 The Oregon Clinic, Providence Cancer Institute.
- 277 Institute of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Dept. of Surgery, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
- 278 University Hospital Leuven, Belgium.
- 279 Creta InterClinic Hospital.
- 280 Tokyo Women's Medical University.
- 281 Izmir Economy University Medical Point Hospital, Izmir, Turkey.
- 282 Ambroise Paré-Hartmann, France.
- 283 ETZ Tilburg.
- 284 Departement of General, Visceral, Endocrine and Transplant Surgery, Cantonal Hospital St. Gallen, Switzerland; Paracelsus Medical University, Salzburg, Austria.
- PMID: 40214091
- DOI: 10.1097/DCR.0000000000003739
Item in Clipboard
Standardizing the Definition of Each Colon Cancer Segment: Delphi Consensus on Clinical Decision-Making for Oncologic Outcomes
Mehmet Ayhan Kuzu et al.
Dis Colon Rectum.
.
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Format
doi: 10.1097/DCR.0000000000003739.
Epub 2025 Apr 11.
Authors
Mehmet Ayhan Kuzu
1
, Cigdem Benlice
1
, Amjad Parvaiz
2
, Emre Gorgun
3
, Claus A Bertelsen
4
, Steven Wexner
5
, Eric J Dozois
6
, Werner Hohenberger
7
, Danilo Miskovic
8
, Konichi Sugihara
9
, Antonino Spinelli
10
, Theo Wiggers
11
, Woo Yong Lee
12
, Gabriela Möslein
13
, Petr Tsarkov
14
, Eloy Espin Basany
15
, Juan Carlos Patron Uriburu
16
, Rodrigo Olivia Perez
17
, Craig Lynch
18
, Zheng Liu
19
, Dieter Hahnloser
20
, Per J Nilsson
21
, Nisar Ahmad Chowdri
22
, Gina Brown
23
, Philippe Rouanet
24
, Robert D Madoff
25
, Nick P West
26
, Turgut Sahin
27
, Atilla Halil Elhan
28
, Liliana G Bordeianou
29
; Colon Cancer Delphi Consensus Study Group
Collaborators
-
Colon Cancer Delphi Consensus Study Group:
Mario Abedrapo 30 , Michel Adamina 31 , Julio Garcia Aguilar 32 , Felix Aigner 33 , Rustem Aiupov 34 , Cihangir Akyol 35 , Emad H Aly 36 , Edgar Amorim 37 , Per Vadgaard Andersen 38 , Koji Ando 39 , Sergio Eduardo Alonso Araujo 40 , Dan Asplund 41 , Sam Atallah 42 , Nicolas Avellaneda 43 , Jose Azevedo 44 , Bilgi Baca 45 , Junge Bai 46 , Vladimir Balaban 47 , Joerg Baral 48 , Ovunc Bardakcioglu 49 , Kevin Behm 50 , H J Belgers 51 , Claudia Benecke 52 , Stinner Benno 53 , Stefan Benz 54 , Roberto Bergamaschi 55 , David L Berger 56 , Paolo Pietro Bianchi 57 , Sebastiano Biondo 58 , Luigi Boni 59 , Dursun Bugra 60 , Lars Bundgaard 61 , Chris Byrne 62 , Michele Carvello 63 , Manish Chand 64 , Min Hoe Chew, Francis Seow Choen 65 , Isbert Christoph 66 , Soon Sup Chung 67 , William C Cirocco 68 , Jessica Cohan 69 , Esther Cj Consten 70 , Eddy Cotte 71 , Peter Coyne 72 , Rogier Crolla 73 , Roland Croner 74 , Miguel Cunha 75 , André D'Hoore 76 , Francisco Marques Dacanal 77 , María Dolores Daneri, Jennifer S Davids 78 , Justin Davies 79 , Nicolò de Manzini 80 , Johannes H W de Wilt 81 , Teresa deBeche-Adams 82 , Jan Willem Dekker 83 , Color P Delaney 84 , Paolo Delrio 85 , Elizabeth Dennett 86 , Rafael Dienstmann Dutra Vila 87 , Christoforidis Dimitri 88 , Khasan Dzhumabaev 89 , Anders H Elliot 90 , İsmail Cem Eray 91 , Dmitrii Erygin, Charles Evans 92 , Seraina Faes 93 , Jean-Luc Faucheron 94 , Dmitriy Feoktistov, Laura M Fernandez 95 , Alessandro Fichera 96 , Rebecca Fish 97 , James Fleshman 98 , Phillip Fleshner 99 , Caterina Fobba 100 , Joakim Folkesson 101 , Garrett Friedman 102 , Frank Frizelle 103 , Alois Fuerst 104 , Wolfgang Gaertner 105 , José-María García-González 106 , Pechlivanides Georgios 107 , Popeskou Sotirios Georgios 108 , Dapri Giovanni 109 , Joel Goldberg 110 , Nikolaos Gouvas 111 , Fabian Grass 112 , Jörn Gröne 113 , Meurette Guillaume 114 , Hirotoshi Hasegawa 115 , Suguru Hasegawa 116 , Wolf Heitland 117 , Ramzi Helewa 118 , Peter Hewett 119 , Koya Hida 120 , Art Hiranyakas 121 , Torbjörn Holm 122 , Roel Hompes 123 , Shenghui Huang 124 , Tracy Hull 125 , Soichiro Ishihara 126 , Ozgen Isik 127 , Seung-Yong Jeong 128 , Luis-Miguel Jimenez-Gomez 129 , Zdeněk Kala 130 , Matthew F Kalady 131 , Sung-Bum Kang 132 , Aleksei Karachun 133 , Tayfun Karahasanoğlu 134 , Andreas Karlsen 135 , Kazushige Kawai 136 , Deborah S Keller 137 , Scott R Kelley 138 , Mohammad Reza Keramati 139 , Tak Loon Khong 140 , I K Yong Kim 141 , Ji Yeon Kim 142 , Seon Hahn Kim 143 , Yusuke Kinugasa 144 , Jakob Kleif 145 , Kunal Kochar 146 , Cherry Koh 147 , Thomas Kolbro 148 , Jozef Korcek 149 , Mykhailo Kunychka 150 , Zaher Lakkis 151 , Ron G Landmann 152 , Sean Langenfeld 153 , Jorge Andrés Larach 154 , Marcelo Laurini 155 , Grace C Lee 156 , Suk-Hwan Lee 157 , Maggiori Leon 158 , David Liska 159 , Uffe Schou Løve 160 , Kirk A Ludwig 161 , Ivan Majesky 162 , Nikolay Makhotin 163 , Marcelo Viola Malet 164 , Zaman Zaur Mamedli 165 , Peter Marcello 166 , Jorge Marcet 167 , Eric Marderstein 168 , Lubomir Martinek 169 , Adrian Mattacheo 170 , Klaus Matzel 171 , Justin Maykel 172 , Diane Mege 173 , Asif Mehraj 174 , Anders Mellgren 175 , Kurt Melstrom 176 , Jeremy Meyer 177 , Rohin Mittal 178 , Isacco Montroni 179 , Salvador Morales-Conde 180 , Susan Moug 181 , Takeshi Naitoh 182 , Paola De Nardi 183 , Anders Ulrich Neuenschwander 184 , Aleksei Nevolskikh 185 , James Chi-Yong Ngu 186 , Joost Nooner 187 , Joseph William Nunoo-Mensah 188 , Eiji Oki 189 , Fábio Henrique de Oliveira 190 , Guy R Orangio 191 , Ana Otero 192 , Ersin Oztürk 193 , Gokhan Ozuner 194 , Guilherme São Julião Pagin 195 , Emmanouil Pappou 196 , Ian M Paquette 197 , Ji Won Park 198 , Youn Young Park 199 , Craig Parnaby 200 , Fazlul Qadir Parray 201 , Marta Pascual 202 , Filip Pazdírek 203 , William Perry 138 , Frank Pfeffer 204 , Alon Pikarsky 205 , Stephen H Pillinger 206 , Vicente Pla-Martí 207 , Joseph M Plummer 208 , Vitaliy Poylin 209 , Augustín Prochotský 210 , Denost Quentin 211 , Sana Qureshi 212 , Fernanda Elias Ferreira Rabelo 213 , George Ramsay 214 , Arsen Rasulov 215 , Thomas E Read 216 , Ahmet Rencuzogullari 60 , Andreas Rink 217 , David E Rivadeneira 218 , David R Rosen 159 , Gustavo Rossi 219 , Nicolas Rotholtz 220 , Kristen Rumer 221 , Evgeny Rybakov 222 , Matteo Sacchi 223 , Peter Sagar 224 , Yoshiharu Sakai 225 , Avanish Saklani 226 , Deborah Saraste 227 , Gerald Seitinger 228 , Isaac Seow-En 229 , Ramakrishnan Ayloor Seshadri 230 , Gustavo Sevá-Pereira 231 , Sherief Shawki 232 , Dai Shida 233 , Parul Shukla 234 , Noam Shussman 235 , Colin Sietses 236 , Gavin Sigle 237 , Iain Skinner 238 , Matej Skrovina 239 , Michael Solomon 240 , Toyooki Sonoda 241 , Constantine P Spanos 242 , Kurt Van der Speeten 243 , Michael J Stamos 244 , Konstantinos Stamou 245 , Laurents P S Stassen 246 , Adam Stearns 247 , Scott R Steele 159 , Sigmar Stelzner 248 , Luca Stocchi 249 , Kristian Eeg Storli 250 , Sarah Stringfield 251 , Scott Strong 252 , Oleg Sushkov 253 , Pasithorn Suwanabol 254 , Chikako Suzuki 255 , Patricia Sylla 256 , Pieter J Tanis 257 , Emile John Tan 258 , Alan Thorson 259 , Boudewijn R Toorenvliet 260 , John Tsiaoussis 261 , George Tzovaras 262 , Kay Uehara 263 , Hideki Ueno 264 , Jun Won Um 265 , Juraj Váňa 266 , Pedro Vieira 44 , Valery Vilchez 267 , Jon Vogel 268 , Haijiang Wang 269 , Xishan Wang 270 , Zhenning Wang 271 , Rauf Wani 272 , Satish Warrier 273 , Klaus Weber 274 , Kneist Werner 275 , Mark H Whiteford 276 , Arne Wibe 277 , Albert Wolthuis 278 , Evangelos Xynos 279 , Shigeki Yamaguchi 280 , Tayfun Yoldas 281 , Yves Panis 282 , David D E Zimmerman 283 , Brunner Walter 284
Affiliations
- 1 Department of General Surgery, School of Medicine, Ankara University, Ankara, Turkey.
- 2 Champalimaud Cancer Foundation, Lisbon, Portugal.
- 3 Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.
- 4 Department of Surgery, Copenhagen University Hospital - North Zealand, Hillerød, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
- 5 Division of Colorectal Surgery, Cleveland Clinic, Jacksonville, Florida.
- 6 Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota.
- 7 Universitatsklinikum Erlangen, Erlangen, Germany.
- 8 Consultant Colorectal Surgeon, St Mark's Hospital, London, United Kingdom.
- 9 Tokyo Medical and Dental University, Tokyo, Japan.
- 10 Department of Biomedical Sciences, Humanitas University, and IRCCS Humanitas Research Hospital, Division of Colon and Rectal Surgery, Milan, Italy.
- 11 Department of Surgery, University Medical Center Groningen, Groningen, the Netherlands.
- 12 Samsung Medical Center, Seoul, South Korea.
- 13 Director, Center for Hereditary Tumors, BETHESDA Khs., Duisburg, Germany.
- 14 First Moscow State Medical University, Sechenov University, Moscow, Russia.
- 15 Head of colorectal surgery unit / General Surgery Department, Institució del Campus, Barcelona Hospital Campus, Barcelona, Spain.
- 16 Head of the Coloproctology Service. British Hospital of Buenos Aires, Buenos Aires, Argentina.
- 17 Hospital Alemão Oswaldo Cruz, São Paulo, Brasil.
- 18 Sydney Adventist Hospital, Wahroonga, Australia.
- 19 Department of Colorectal Surgery, National Cancer Center, National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, People's Republic of China.
- 20 University Hospital Lausanne, Lausanne, Switzerland.
- 21 Dept. of Pelvic Cancer, Div. Coloproctology, Karolinska University Hospital, Stockholm, Sweden.
- 22 Head Colorectal Division, Department of General and Minimal Access Surgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India.
- 23 Professor of Gastrointestinal Cancer Imaging, Imperial College London, London, United Kingdom.
- 24 Montpellier Cancer Institute, Department of Surgery, Montpellier, France.
- 25 Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota.
- 26 Pathology and Data Analytics, University of Leeds, Leeds, United Kingdom.
- 27 Cankiri State Hospital, Cankiri, Turkey.
- 28 Department of Biostatistics, Faculty of Medicine, Ankara University, Ankara, Turkey.
- 29 Department of Surgery, Section of Colorectal Surgery, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts.
- 30 Department of Surgery, Clinical Hospital University of Chile.
- 31 Kantonsspital Winterthur & University of Basel, Switzerland.
- 32 Memorial Sloan Kettering Cancer Center, US.
- 33 St. John of God Hospital Graz, Marschallgasse 12, Austria.
- 34 Republican Oncological Centre, Ufa, Russia.
- 35 Department of General Surgery, University of Ankara.
- 36 Consultant Colorectal & General Surgeon - Aberdeen Royal Infirmary, University of Aberdeen, Scotland.
- 37 Centro hospitalar do Algarve.
- 38 Department of Surgery, Odense University Hospital, Denmark.
- 39 National Cancer Center Hospital East, Kashiwa, Japan.
- 40 Hospital Israelita Alert Einstein, São Paulo, Brasil.
- 41 Sahlgrenska University Hospital, Gothenburg, Sweden.
- 42 Advent Health Care System, US.
- 43 General Surgery Department and Academic Investigations Unit, CEMIC University Hospital, Argentina.
- 44 Champalimaud Foundation.
- 45 Department of General Surgery, Acibadem University, Turkey.
- 46 Department of Colorectal Surgery, National Cancer Center, Beijing, China.
- 47 Sechenov University.
- 48 Leiter Sektion kolorektale Chirurgie und Proktologie, EBSQ Coloproctology Klinikum Karlsruhe.
- 49 UNLV.
- 50 Mayo Clinic, US.
- 51 Zuyderland Medical Center.
- 52 UKSH.
- 53 Elbe Klinikum Stade.
- 54 Klinikin Boeblingen.
- 55 Chief of Colorectal Surgery & Surgical Oncology, New York City Health & Hospitals, Jacobi Medical Center, New York, NY, USA.
- 56 Massachusetts General Hospital, Harvard Medical School, USA.
- 57 University of Milano. Ospedale San Paolo. Milano, Italy.
- 58 Bellvitge University Hospital. Department of General and Digestive Surgery. University of Barcelona, Spain.
- 59 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Italy.
- 60 Koç University School of Medicine, Istanbul, Turkey.
- 61 Lillebaelt Hospital, Vejle.
- 62 RPAH.
- 63 Humanitas research hospital.
- 64 UCL.
- 65 Seow-Choen Colorectal Centre.
- 66 Ev. Amalie Sieveking-Hospital Immanuel Albertinen, Teaching Hospital University Hamburg, Germany.
- 67 Ewha Womans University, Korea.
- 68 Ochsner Health, New Orleans, Louisiana, US.
- 69 University of Utah.
- 70 Department of Surgery at University Medical Center (UMCG), Groningen and Meander, Medical Center in Amersfoort, The Netherlands.
- 71 Department of digestive and oncological surgery, Lyon-Sud Hospital, Lyon, France.
- 72 RVI, Newcastle.
- 73 Consultant Colorectal Surgeon Amphia.
- 74 Department of Surgery, University Hospital Magdeburg.
- 75 Algarve University Hospital - Portimao.
- 76 UZ Leuven.
- 77 Moinhos de Vento Hospital, Santa Casa de Misericórdia de Porto Alegre e Hospital Mãe de Deus.
- 78 Section of Colon and Rectal Surgery Department of Surgery, Boston Medical Center, US.
- 79 1. Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK; University of Cambridge, Cambridge, UK.
- 80 Department of Medical Surgical and Health Sciences, University of Trieste, Italy.
- 81 "Radboud University Medical Center, Department of Surgery.
- 82 Advent Health Orlando, US.
- 83 Reinier de Graaf Gasthuis, Delft, Netherlands.
- 84 Cleveland Clinic Florida, US.
- 85 Colorectal Surgical Oncology - Istituto Nazionale Per Lo Studio E La Cura Dei Tumori, "Fondazione Giovanni Pascale Irccs-Italia", Naples, Italy.
- 86 University of Otago, Wellington, New Zealand.
- 87 MÃE DE DEUS HOSPITAL, Porto Alegre city, Brazil.
- 88 Lugano Hospital & University Hospital of Lausanne (CHUV).
- 89 N.N. Blokhin Russian Cancer Research Center.
- 90 "Affiliation 1: Department of Molecular Medicine and Surgery, Karolinska Institutet. Affiliation 2: Division of Colorectal Surgery, Center for Pelvic Cancer, Karolinska University Hospital, Stockholm, Sweden.
- 91 Cukurova University.
- 92 University Hospitals of Coventry and Warwickshire.
- 93 City Hospital Zurich.
- 94 Colorectal Unit, Department of Surgery, Grenoble Alpes University Hospital.
- 95 Colorectal surgery department. Champalimaud Foundation, Lisbon, Portugal.
- 96 Baylor University Medical Center.
- 97 The Christie NHS Foundation Trust.
- 98 Texas A&M College of Medicine.
- 99 Division Of Colorectal Surgery; Cedars-Sinai Medical Center, US.
- 100 Humanitas University.
- 101 Associate Professor of Surgery, Dep. of Surgical Sciences, Uppsala University Uppsala, Sweden.
- 102 Las Vegas Complex Surgical Specialists.
- 103 Professor of Surgery, Otago University, Clinical Director of General Surgery, Canterbury and West Coast, New Zealand, The New Zealand Medical Journal.
- 104 Klinik für Allgemein-, Viszeral-, Thoraxchirurgie, Adipositasmedizin Caritas-Krankenhaus, Regensburg, Germany.
- 105 University of Minnesota, US.
- 106 Colorectal Surgery Unit, Department of General and Digestive Surgery, University of the Basque Country UPV/EHU, Cruces University Hospital, Barakaldo (Bizkaia), Spain.
- 107 Metropolitan Hospital.
- 108 Lugano Regional Hospital.
- 109 International School Reduced Scar Laparoscopy, Minimally Invasive General & Oncologic Surgery Center, Humanitas Gavazzeni University Hospital, Bergamo, Italy.
- 110 Harvard Medical School.
- 111 Medical School - University of Cyprus.
- 112 Lausanne University Hospital CHUV.
- 113 Department of Surgery, St. Joseph Krankenhaus Berlin, Germany.
- 114 Hôpitaux universitaires de Geneve.
- 115 Tokyo Dental College Ichikawa General Hospital.
- 116 Fukuoka University, Japan.
- 117 former head surgeon, Department of Viszeral Surgery, Hospital Munich Bogenhausen, Germany.
- 118 Department of Surgery, University of Manitoba, Canada.
- 119 The Queen Elizabeth Hospital Adelaide South Australia.
- 120 Kyoto University Hospital.
- 121 Bangkok Hospital Group.
- 122 Karolinska Institutet.
- 123 Amsterdam UMC.
- 124 Fujian Medical University Union Hospital.
- 125 Department of Colon and Rectal Surgery, Cleveland Clinic Cleveland, Ohio.
- 126 Department of Surgical Oncology, The University of Tokyo, Japan.
- 127 Bursa Uludag University School of Medicine.
- 128 Seoul National University College of Medicine.
- 129 Colorectal Unit. Hospital General Universitario Gregorio Marañón, Madrid, Spain.
- 130 Dept. of Surgery, Faculty of Medicine. Masaryk University, Brno, Czech Republic.
- 131 Ohio State University.
- 132 Seoul National University Bundang Hospital.
- 133 National Medical Research Center of Oncology na N.N. Petrov, Ministry of Healthcare of Russian Federation.
- 134 Acibadem University.
- 135 North Zealand Hospital, hillerød, Denmark.
- 136 Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital.
- 137 Lankenau Medical Center, US.
- 138 Mayo Clinic Foundation, US.
- 139 Tehran University of Medical Sciences.
- 140 University Malaya Medical Centre.
- 141 Yonsei university Wonju College of Medicine.
- 142 Chungnam National University Hospital.
- 143 Department of Surgery, Universiti Malaya.
- 144 Department of Gastrointestinal Surgery, Tokyo Medical and Dental University.
- 145 Department of Surgery, Copenhagen University Hospital, North Zealand.
- 146 University of Illinois, Chicago, USA.
- 147 Royal Prince Alfred Hospital.
- 148 OUH University Hospital Odense, Denmark.
- 149 Surgical Clinic, Teaching Hospital Nitra, Slovak Republic.
- 150 FNsP Žilina, Slovak Republic.
- 151 Department of Digestive Surgery, University Hospital of Besançon, France.
- 152 Baptist-MD Anderson Cancer Center, USA.
- 153 University of Nebraska Medical Center.
- 154 Clinica Alemana, Santiago Chile.
- 155 Médica Uruguaya.
- 156 Massachusetts General Hospital, Boston, MA, USA.
- 157 Kyung Hee University Hospital at Gangdong.
- 158 Digestive surgery department, hopital saint louis, APHP, Paris.
- 159 Department of Colorectal Surgery, DDSI, Celeveland Clinic, Cleveland, Ohio, US.
- 160 Department of Surgery, Viborg Regional Hospital, Denmark.
- 161 Medical College of Wisconsin, Milwaukee, WI, US.
- 162 University Hospital Bratislava.
- 163 Regional Oncological Hospital, Ekaternburg, Russian Federation.
- 164 Head of the Department of Surgery at Médica Uruguaya.
- 165 Russian Cancer Research Center.
- 166 Lahey Hospital & Medical Center.
- 167 University of South Florida/Tampa General Hospital.
- 168 Case Western Reserve School of Medicine, Northeast Ohio VA Healthcare System.
- 169 Head of Department of Surgery, Univesity Hospital Ostrava, Czech Republic.
- 170 Hospital J. M. Ramos Mejía.
- 171 Departement of Surgery, University Erlangen.
- 172 UMass Memorial.
- 173 Aix Marseille Univ, APHM, Department of Digestive Surgery, Timone University Hospital, 264 rue Saint-Pierre, 13005, Marseille, France.
- 174 Government Medical College, Srinagar, India.
- 175 UIC.
- 176 City of Hope Medical Center. Duarte, California.
- 177 Division of Digestive Surgery, University Hospitals of Geneva, Switzerland.
- 178 Christian Medical College, Vellore.
- 179 Ospedale S. Maria delle Croci Ravenna.
- 180 Department of General and Digestive Surgery. University Hospital Virgen Macarena (Sevilla). University of Sevilla, Spain.
- 181 Royal Alexandra Hospital, Paisley and Golden Jubilee University National Hospital, Clydebank, Scotland.
- 182 Kitasato University Hospital.
- 183 San Raffaele Hospital.
- 184 Department of Surgery, Copenhagen University Hospital - North Zealand, 3400 Hillerød, Denmark.
- 185 A. Tsyb Medical Radiological Research Centre- branch of National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation.
- 186 Department of Surgery, Changi General Hospital.
- 187 Ikazia.
- 188 King's College Hospital, London, UK & Cleveland Clinic London, London, UK.
- 189 Kyushu University.
- 190 chief of colorectal surgery departament of São João de Deus Health Complex, Divinópolis, Minas Gerais, Brazil.
- 191 LSU Health Science Center, New Orleans.
- 192 Hospital Clinic, Barcelona.
- 193 Bursa Medicana Hospital, Turkey.
- 194 Arnot Health, New. York, US.
- 195 Angelita & Joaquim Gama Institute.
- 196 Colorectal Surgery Service, Memorial Sloan Kettering Cancer Center, NY, Weill Cornell Medical College.
- 197 University of Cincinnati College of Medicine.
- 198 Seoul National University Hospital.
- 199 Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University.
- 200 NHS Grampian.
- 201 Sher -i- Kashmir Institute of Medical Sciences,Soura,Srinagar, JK, India.
- 202 Chief of Colorectal Surgery at Hospital del Mar, Barcelona.
- 203 Surgery department, 2nd Medical faculty, Motol University Hospital, Charles University.
- 204 Haukeland University Hospital, Bergen, Norway.
- 205 hadassha medical center.
- 206 Sydney Adventist Hospital.
- 207 Hospital Clinico Universitario de Valencia (Spain).
- 208 Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Mona, Kingston, Jamaica.
- 209 Northwestern Medicine.
- 210 Department of Surgery Commenius University Bratislava Hospital, Bratislava, Slovak Republic.
- 211 Bordeaux Colorectal Institute.
- 212 Pomona Valley Hospital Medical Center.
- 213 Brasil.
- 214 Health Services Research Unit, University of Aberdeen.
- 215 Head of the colorectal cancer department of "MD group" hospital, Moscow, Russia.
- 216 University of Florida College of Medicine.
- 217 Essen University Hospital, Dept. of General, Visceral and Transplant Surgery.
- 218 Physician-In-Chief, Clinical Strategic Initiatives, Eastern Region Northwell Health Director, Northwell Health Cancer Institute at Huntington Professor of Surgery Donald & Barbara Zucker School of Medicine at Hofstra/Northwell.
- 219 Hospital Italiano de Buenos Aires, Argentina.
- 220 Hospital Aleman Buenos Aiures.
- 221 Mayo Clinic Foundation.
- 222 Ryzhikh National Medical Research Center of Coloproctology.
- 223 Humanitas Research Hospital IRCCS.
- 224 Leeds Teaching Hospitals.
- 225 Red Cross Hospital Osaka, Japan.
- 226 Tata Memorial Hospital.
- 227 Södersjukhuset, Stockholm.
- 228 St.John of God Hospital Graz, Austria.
- 229 Department of Colorectal Surgery, Singapore General Hospital.
- 230 Professor of Surgical Oncology (GI & HPB services), Cancer Institute (WIA), Chennai, India.
- 231 Mario Gatti City Hospital, Campinas, Brazil.
- 232 Mayo Clinic Foundation, USA.
- 233 Division of Frontier Surgery, The Institute of Medical Science, The University of Tokyo.
- 234 Northwell Health; Lenox Hill Hospital.
- 235 Department of Surgery, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel.
- 236 Ziekenhuis Gelderse Vallei.
- 237 St. Petersburg Colon and Rectal Surgery, HCA Healthcare.
- 238 Mercy Health.
- 239 Departement of Surgery. Hospital and Oncological Centre Novy Jicin, Czech Republic.
- 240 University of Sydney.
- 241 NYU Langone Long Island Hospital.
- 242 Professor of Surgery, Aristotelian University, Thessaloniki, Greece.
- 243 Hasselt University.
- 244 "Dean, School of Medicine, University of California, Irvine (UCI, Irvine, CA).
- 245 Mitera Hospital.
- 246 Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
- 247 Dept of Colorectal Surgery, Norfolk & Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, UK.
- 248 Department of Visceral, Transplant, Thoracic, and Vascular Surgery, University Hospital of Leipzig, Leipzig, Germany.
- 249 Mayo Clinic Florida, Jacksonville FL, USA.
- 250 University of Bergen, Haraldsplass Deaconess Hospital.
- 251 Baylor University Medical Center, Dallas, Texas, USA.
- 252 Northwestern Medicine, IL, USA.
- 253 Ryzhikh National Medical Research Centre for Coloproctology of the Ministry of Health of Russia.
- 254 University of Michigan.
- 255 Department of Diagnostic Radiology, Södersjukhuset, Karolinska Institute,Stockholm Sweden.
- 256 Mount Sinai Hospital, New York, US.
- 257 Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus Medical Centre, Rotterdam, the Netherlands.
- 258 Singapore General Hospital.
- 259 Creighton University School of Medicine/University of Nebraska College of Medicine.
- 260 Ikazia Hospital, Rotterdam, the Netherlands.
- 261 Department of Anatomy, School of Medicine, University of Crete, Voutes Campus, Crete, Greece.
- 262 University Hospital of Larissa, Greece.
- 263 Deoartment of Gastroenterology, Nippon Medical School.
- 264 Department of Surgery, National Defense Medical College.
- 265 Korea University Ansan Hospital.
- 266 primár chirurgického oddelenia, FNsP Žilina.
- 267 University of California at Irvine.
- 268 University of Colorado, USA.
- 269 Cancer Hospital Affiliated to Xinjiang Medical University.
- 270 Cancer Hospital Chinese Academy of Medical Sciences.
- 271 China medical university.
- 272 SKIMS.
- 273 Peter MacCallum Cancer Centre.
- 274 University Hospital Erlangen, Germany.
- 275 Klinikum Darmstadt, Germany.
- 276 The Oregon Clinic, Providence Cancer Institute.
- 277 Institute of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Dept. of Surgery, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
- 278 University Hospital Leuven, Belgium.
- 279 Creta InterClinic Hospital.
- 280 Tokyo Women's Medical University.
- 281 Izmir Economy University Medical Point Hospital, Izmir, Turkey.
- 282 Ambroise Paré-Hartmann, France.
- 283 ETZ Tilburg.
- 284 Departement of General, Visceral, Endocrine and Transplant Surgery, Cantonal Hospital St. Gallen, Switzerland; Paracelsus Medical University, Salzburg, Austria.
- PMID: 40214091
- DOI: 10.1097/DCR.0000000000003739
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Abstract
Background: Data registries lack a definitive classification system that distinguishes different locations of colon cancer from one another.
Objective: To establish an international consensus on the definition of primary colon cancer segment locations.
Design: Between December 2022 and June 2023, the Delphi survey study was conducted to seek opinions from relevant international experts and eventually develop a consensus definition of each colon cancer segment.
Setting: Three-round online-based Delphi survey study.
Interventions: The online survey included 17 questions. In the first 2 rounds, participating experts were asked to rank each statement on a scale of 1 (least relevant) to 9 (most relevant). Consensus statements and definitions were revised according to the results for statements obtaining a consensus score of 7 to 9. During the third round and online meeting, definitions and statements that reached a moderate or high consensus (above 4 for more than 70% of participants) were included.
Main outcome measures: The primary goal of our project was focused on precisely localizing the specific segment affected by primary colon cancer rather than identifying surgical treatment or type of resection needed for a particular segment.
Results: The first round included 331 experts; 301 (91%) completed the second round and 295 (98%) completed the final round. Experts strongly supported the use of a "10-cm rule" to describe colon cancer sites at the flexures and anatomical landmarks for other segments. Regarding the definition of rectosigmoid cancer, experts from United States and Europe reached a high consensus that the term rectosigmoid as a colon cancer location must be abolished in contrast to experts from Asia. The description of overlapping segments of cancers achieved a consensus of 64%.
Limitations: Subjective decisions are based on individual expert clinical experience.
Conclusions: This Delphi survey, the first internationally conducted consensus study, achieved a remarkable level of consensus among a panel of global experts. Ambiguity still exists regarding overlapping lesions. See Video Abstract .
Estandarizacin de la definicin de cada segmento de cncer de colon consenso delphi sobre la toma de decisiones clnicas para resultados oncolgicos: ANTECEDENTES:Las bases de datos carecen de un sistema de clasificación definitivo que distinga las diferentes localizaciones del cáncer de colon.OBJETIVO:Establecer un consenso internacional sobre la definición de las localizaciones de los segmentos del cáncer de colon priamrio.DISEÑO:Entre diciembre de 2022 y junio de 2023, se realizó un estudio Delphi para recabar la opinión de expertos internacionales relevantes y, finalmente, desarrollar una definición consensuada de cada segmento del cáncer de colon.ESCENARIO:Estudio Delphi en línea de 3 rondas.INTERVENCIONES:La encuesta en línea incluyó 17 preguntas. En las dos primeras rondas, se pidió a los expertos participantes que calificaran cada afirmación en una escala del 1 al 9 (9 es la más relevante). Las afirmaciones y definiciones de consenso se revisaron según los resultados, obteniendo una puntuación de consenso de 7 a 9. Durante la tercera ronda y la reunión en línea, se incluyeron las definiciones y afirmaciones que alcanzaron un consenso moderado o alto (superior a 4 en más del 70 % de los participantes).MEDIDA PRINCIPALES DE RESULTADOS:El objetivo principal de nuestro proyecto se centró en localizar con precisión el segmento específico afectado por el cáncer de colon primario, en lugar de identificar el tratamiento quirúrgico o el tipo de resección necesario para un segmento en particular.RESULTADOS:La primera ronda incluyó a 331 expertos, 301 (91%) completaron la segunda ronda y 295 (98%) completaron la ronda final. Los expertos apoyaron firmemente el uso de una "regla de 10 cm" para describir las localizaciones del cáncer de colon en las flexuras y puntos de referencia anatómicos para otros segmentos. En cuanto a la definición de cáncer rectosigmoideo, expertos de América y Europa alcanzaron un alto consenso en la necesidad de abolir el término "rectosigmoide" como localización del cáncer de colon, a diferencia de los expertos de Asia. La descripción de los cánceres en segmentos que se superponen a alcanzó un consenso del 64%.LIMITACIONES:Las decisiones subjetivas se basan en la experiencia clínica individual de cada experto.CONCLUSIONES:Esta encuesta Delphi, el primer estudio de consenso realizado a nivel internacional, alcanzó un notable nivel de consenso entre un panel de expertos globales. Todavía existe ambigüedad en cuanto a las lesiones superpuestas. (Traducción-Dr. Jorge Silva Velazco ).
Keywords: Colon cancer segment classification; Definition; Delphi consensus; Localization.
Copyright © The ASCRS 2025.
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