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Related Experiment Video

Updated: Mar 21, 2026

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma
05:22

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

161

A modified Delphi method toward multidisciplinary consensus on functional convalescence recommendations after

Daphne C R van Vliet1,2,3, Eva van der Meij1,2, Esther V A Bouwsma1,2

  • 1Department of Obstetrics and Gynaecology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.

Surgical Endoscopy
|May 4, 2016
PubMed
Summary

New guidelines provide clear recommendations for resuming daily activities after common abdominal surgeries. This aims to reduce patient uncertainty, speed up recovery, and shorten sick leave following procedures like cholecystectomy and hernia repair.

Keywords:
AppendectomyCholecystectomyColectomyConvalescence recommendationsHernia repairModified Delphi study

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05:22

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

161

Area of Science:

  • Surgery
  • Occupational Medicine
  • General Practice

Background:

  • Limited evidence exists for resuming daily activities after uncomplicated abdominal surgery.
  • Lack of standardized guidelines leads to patient uncertainty, delayed recovery, and prolonged sick leave.

Purpose of the Study:

  • To develop consensus-based, multidisciplinary recommendations for convalescence and return to work after common abdominal surgeries.
  • To provide guidance for both patients and physicians.

Main Methods:

  • A modified Delphi method was used with a multidisciplinary panel of 13 experts (surgeons, occupational physicians, general practitioners).
  • Recommendations were developed for 34 activities across laparoscopic/open cholecystectomy, appendectomy, colectomy, and inguinal hernia repair.
  • Feasibility was assessed by a sample of healthcare providers.

Main Results:

  • Consensus was achieved on recommendations for 34 activities for all studied surgical procedures after four Delphi rounds.
  • The developed recommendations were considered feasible in daily practice by a sample of occupational physicians, general practitioners, and surgeons.

Conclusions:

  • Multidisciplinary convalescence recommendations for several common abdominal surgeries were established using a modified Delphi procedure.
  • Further research is needed to validate the real-world effectiveness and practicality of these recommendations.