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International consensus statement on robotic hepatectomy surgery in 2018

World Journal of Gastroenterology 2019年第12期25卷 1432-1444页

作者： Rong Liu Go Wakabayashi Hong-Jin Kim Gi-Hong Choi Anusak Yiengpruksawan Yuman Fong Jin He Ugo Boggi Roberto I Troisi Mikhail Efanov Daniel Azoulay Fabrizio Panaro Patrick Pessaux Xiao-Ying Wang Ji-Ye Zhu Shao-Geng Zhang Chuan-Dong Sun Zheng Wu Kai-Shan Tao Ke-Hu Yang Jia Fan Xiao-Ping Chen Second Department of Hepatopancreatobiliary Surgery Chinese People’s Liberation Army (PLA) General Hospital Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases Ageo Central General Hospital Department of Surgery Yeungnam University Hospital Division of Hepatobiliary Pancreatic Surgery Department of Surgery Yonsei University College of Medicine Minimally Invasive Surgery Division Department of SurgeryFaculty of Medicine Siriraj Hospital Mahidol University Department of Surgery City of Hope Medical Center Department of Surgery the Johns Hopkins Hospital Division of General and Transplant Surgery Pisa University Hospital Department of Clinical Medicine and Surgery Federico II University Department of Hepato-Pancreato-Biliary Surgery Moscow Clinical Scientific Center Hepato-Biliary Center Paul Brousse University Hospital Hepato-Biliary Center Tel Hashomer University Hospital Department of Surgery/Division of HBP Surgery and Transplantation Montpellier University Hospital-School of Medicine Head of the Hepato-biliary and pancreatic surgical unit Nouvel Hopital Civil Department of Liver Surgery and Transplantation Liver Cancer Institute Zhongshan Hospital Fudan University Department of Hepatobiliary Surgery Peking University People’s Hospital Department of Hepatobiliary Surgery 302 Hospital of Chinese PLA Department of Hepatobiliary and Pancreatic Surgery the Affiliated Hospital of Qingdao University Department of Hepatobiliary Surgery the First Affiliated Hospital of Xi’an Jiaotong University Department of Hepatobiliary Surgery Xijing Hospital the Fourth Military Medical University Evidence Based Medicine Center School of Basic Medical Sciences Lanzhou University Hepatic Surgery Center Tongji Hospital Tongji Medical College Huazhong University of Science and Technology

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.

关键词： Minimally invasive surgery Robotic hepatectomy Laparoscopic hepatectomy hepatectomy resection Consensus statement

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