International expert consensus on laparoscopic pancreaticoduodenectomy

Autor: Virinder Kumar Bansal, Renyi Qin, Michael L. Kendrick, Chengfeng Wang, Yiping Mou, Tan To Cheung, Yupei Zhao, Steven W.M. Olde Damink, Christopher L. Wolfgang, Manson Fok, Bing Peng, Jin He, Palanisamy Senthilnathan, Ho-Seong Han, Michiaki Unno, Xianjun Yu, Shengquan Zou, Y. Yang, Yu-Wen Tien, Xiujun Cai, Chinnusamy Palanivelu, Barish H. Edil, Jae Hoon Lee, Shu-you Peng, Rowan W. Parks, Taiping Zhang, Nim Choi, Pierce K. H. Chow
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Hepatobiliary Surg Nutr
Qin, R, Kendrick, M L, Wolfgang, C L, Edil, B H, Palanivelu, C, Parks, R W, Yang, Y, He, J, Zhang, T, Mou, Y, Yu, X, Peng, B, Senthilnathan, P, Han, H-S, Lee, J H, Unno, M, Damink, S W M O, Bansal, V K, Chow, P, Cheung, T T, Choi, N, Tien, Y-W, Wang, C, Fok, M, Cai, X, Zou, S, Peng, S & Zhao, Y 2020, ' International expert consensus on laparoscopic pancreaticoduodenectomy ', Hepatobiliary surgery and nutrition, vol. 9, no. 4, pp. 464-483 . https://doi.org/10.21037/hbsn-20-446
ISSN: 2304-3881
DOI: 10.21037/hbsn-20-446
Popis: Importance: While laparoscopic pancreaticoduodenectomy (LPD) is being adopted with increasing enthusiasm worldwide, it is still challenging for both technical and anatomical reasons. Currently, there is no consensus on the technical standards for LPD.Objective: The aim of this consensus statement is to guide the continued safe progression and adoption of LPD.Evidence Review: An international panel of experts was selected based on their clinical and scientific expertise in laparoscopic and open pancreaticoduodenectomy. Statements were produced upon reviewing the literature and assessed by the members of the expert panel. The literature search and its critical appraisal were limited to articles published in English during the period from 1994 to 2019. The Web of Science, Medline, and Cochrane Library and Clinical Trials databases were searched, The search strategy included, but was not limited to, the terms 'laparoscopic', 'pancreaticoduodenectomy, 'pancreatoduodenectomy', 'Whipple's operation', and 'minimally invasive surgery'. Reference lists from the included articles were manually checked for any additional studies, which were included when appropriate. Delphi method was used to establish expert consensus and the AGREE II-GRS Instrument was applied to assess the methodological quality and externally validate the final statements. The statements were further discussed during a one-day face-to-face meeting at the 1st Summit on Minimally Invasive Pancreatico-Biliary Surgery in Wuhan, China.Findings: Twenty-eight international experts from 8 countries constructed the expert panel. Sixteen statements were produced by the members of the expert panel. At least 80% of responders agreed with the majority (80%) of statements. Other than three randomized controlled trials published to date, most evidences were based on level 3 or 4 studies according to the AGREE II-GRS Instrument.Conclusions and Relevance: The Wuhan international expert consensus meeting on LPD has produced a set of clinical practice statements for the safe development and progression of LPD. LPD is currently in its development and exploration stages, as defined by the international IDEAL framework for surgical innovation. More robust randomized controlled trial and registry study are essential to proceed with the assessment of LPD.
Databáze: OpenAIRE
Externí odkaz: