{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:40:31Z","timestamp":1747183231142,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T00:00:00Z","timestamp":1684540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is no consensus as to how much ileal resection is sufficient when performing a right hemicolectomy for right colon cancers. Locally advanced caecal cancer has the highest incidence of peri\u2010ileal lymph node metastasis. Therefore, this study investigated whether the 10\u2009cm ileum resection suggested by the Japanese Society for Cancer of the Colon and Rectum is oncologically safe in stage II and III caecal cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The prospectively collected medical records of stage II and III caecal cancer patients who underwent a right hemicolectomy with at least D2 lymph node dissection were reviewed retrospectively. The patients were divided into two groups according to the length of proximal ileal resected: group 1 (\u226410\u2009cm) and group 2 (&gt;10\u2009cm). Factors contributing to the 5\u2010year overall survival (OS) were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study enrolled 89 patients with pathological stage II or III caecal cancer. The &gt;10\u2009cm group tended to be younger (<jats:italic>P<\/jats:italic>\u2009=\u20090.0938) with higher pathological N stages (<jats:italic>P<\/jats:italic>\u2009=\u20090.0899) than the \u226410\u2009cm group. The 5\u2010year OS did not differ between the two groups. No significant difference was found between the two groups according to stage. Age (HR\u2009=\u20091.06, 95% CI\u2009=\u20091.02\u20131.10, <jats:italic>P<\/jats:italic>\u2009=\u20090.0069) and N2 stage (HR\u2009=\u20095.38, 95% CI\u2009=\u20091.90\u201315.28, <jats:italic>P<\/jats:italic>\u2009=\u20090.0016) were significantly associated with OS in both uni\u2010 and multivariate analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was no OS benefit to resecting &gt;10\u2009cm of ileum in either stage II or III caecal cancer patients. Hence, we suggest that the \u201810 cm rule\u2019 is sufficient for stage II and III caecal cancer patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18471","type":"journal-article","created":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T11:58:23Z","timestamp":1684583903000},"page":"2444-2449","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Is 10\u2009cm ileal resection sufficient in locally advanced caecal cancer surgery?"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8359-5334","authenticated-orcid":false,"given":"HyungJoo","family":"Baik","sequence":"first","affiliation":[{"name":"Department of Surgery Inje University College of Medicine, Busan Paik Hospital  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihyeong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Inje University College of Medicine, Busan Paik Hospital  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Yong","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Surgery Inje University College of Medicine, Haeundae Paik Hospital  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2013-0788","authenticated-orcid":false,"given":"Kwang Hee","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Inje University College of Medicine, Busan Paik Hospital  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang Hyuk","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Surgery Inje University College of Medicine, Busan Paik Hospital  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang Hyun","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Surgery Inje University College of Medicine, Busan Paik Hospital  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7144-6208","authenticated-orcid":false,"given":"Hee Ju","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery Inje University College of Medicine, Busan Paik Hospital  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung","family":"Namkoong","sequence":"additional","affiliation":[{"name":"Department of Surgery Inje University College of Medicine, Busan Paik Hospital  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Kyung","family":"Oh","sequence":"additional","affiliation":[{"name":"Clinical Trial Center in Pharmacology Inje University College of Medicine, Busan Paik Hospital  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9210-9147","authenticated-orcid":false,"given":"Min Sung","family":"An","sequence":"additional","affiliation":[{"name":"Department of Surgery Inje University College of Medicine, Busan Paik Hospital  Busan South 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