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World J Gastroenterol. 2019 Mar 28;25(12):1432-1444. doi: 10.3748/wjg.v25.i12.1432.

International consensus statement on robotic hepatectomy surgery in 2018.

Author information

1
Second Department of Hepatopancreatobiliary Surgery, Chinese People's Liberation Army (PLA) General Hospital, Beijing 100853, China. liurong@301hospital.com.cn.
2
Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, Ageo 362-8588, Japan.
3
Department of Surgery, Yeungnam University Hospital, Daegu 705-703, South Korea.
4
Division of Hepatobiliary Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul 03722, South Korea.
5
Minimally Invasive Surgery Division, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
6
Department of Surgery, City of Hope Medical Center, Duarte, CA 91010, United States.
7
Department of Surgery, the Johns Hopkins Hospital, Baltimore, MD 21287, United States.
8
Division of General and Transplant Surgery, Pisa University Hospital, Pisa 56124, Italy.
9
Department of Clinical Medicine and Surgery, Federico II University, Naples 80131, Italy.
10
Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center, Moscow 11123, Russia.
11
Hepato-Biliary Center, Paul Brousse University Hospital, Villejuif 94000, France.
12
Department of Surgery/Division of HBP Surgery and Transplantation, Montpellier University Hospital-School of Medicine, Montpellier 34000, France.
13
Head of the Hepato-biliary and pancreatic surgical unit, Nouvel Hôpital Civil, Strasbourg Cedex 67091, France.
14
Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
15
Department of Hepatobiliary Surgery, Peking University People's Hospital, Beijing 100044, China.
16
Department of Hepatobiliary Surgery, 302 Hospital of Chinese PLA, Beijing 100039, China.
17
Department of Hepatobiliary and Pancreatic Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266071, Shandong Province, China.
18
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China.
19
Department of Hepatobiliary Surgery, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, Shaanxi Province, China.
20
Evidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, Gansu Province, China.
21
Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China.

Abstract

The robotic surgical system has been applied in liver surgery. However, controversies concerns exist regarding a variety of factors including the safety, feasibility, efficacy, and cost-effectiveness of robotic surgery. To promote the development of robotic hepatectomy, this study aimed to evaluate the current status of robotic hepatectomy and provide sixty experts' consensus and recommendations to promote its development. Based on the World Health Organization Handbook for Guideline Development, a Consensus Steering Group and a Consensus Development Group were established to determine the topics, prepare evidence-based documents, and generate recommendations. The GRADE Grid method and Delphi vote were used to formulate the recommendations. A total of 22 topics were prepared analyzed and widely discussed during the 4 meetings. Based on the published articles and expert panel opinion, 7 recommendations were generated by the GRADE method using an evidence-based method, which focused on the safety, feasibility, indication, techniques and cost-effectiveness of hepatectomy. Given that the current evidences were low to very low as evaluated by the GRADE method, further randomized-controlled trials are needed in the future to validate these recommendations.

KEYWORDS:

Consensus statement; Hepatectomy resection; Laparoscopic hepatectomy; Minimally invasive surgery; Robotic hepatectomy

PMID:
30948907
PMCID:
PMC6441912
DOI:
10.3748/wjg.v25.i12.1432
[Indexed for MEDLINE]
Free PMC Article

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