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Expert Consensus Guidelines: How to safely perform minimally invasive anatomic liver resection
Naoto Gotohda1, Daniel Cherqui2, David A Geller3
1Department of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital East, Chiba, Japan.
Journal of Hepato-Biliary-Pancreatic Sciences
|November 15, 2021
Summary
Expert guidelines were developed for safe minimally invasive anatomic liver resection (MIALR). These recommendations, based on literature and expert consensus, aim to support the safe implementation and advancement of MIALR procedures.
Area of Science:
- Hepatobiliary Surgery
- Surgical Innovation
- Anatomic Liver Resection
Background:
- Minimally invasive anatomic liver resection (MIALR) is increasingly adopted.
- Safe MIALR requires specialized technical skills.
- The PAM-HBP Surgery Consensus was established by the JSHBPS.
Purpose of the Study:
- To develop clinical guidelines for safe MIALR.
- To consolidate expert opinions and literature evidence.
Main Methods:
- A literature review was conducted using the Scottish Intercollegiate Guidelines Network method.
- Thirty-four international experts participated in online Delphi rounds.
- Recommendations were drafted, circulated, and validated through multiple consensus rounds.
Main Results:
- Seven clinical questions were addressed.
- Twenty-two recommendations were formulated for MIALR.
- Over 85% expert consensus was achieved for all recommendations.
Conclusions:
- Clinical guidelines for safe MIALR have been established.
- These guidelines are based on robust literature review and expert consensus.
- The guidelines are expected to promote the safe development and application of MIALR.
