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International experts consensus guidelines on robotic liver resection in 2023.

Rong Liu1, Mohammed Abu Hilal2, Go Wakabayashi3

  • 1Faculty of Hepato-Pancreato-Biliary Surgery, The First Medical Center of Chinese PLA General Hospital, Beijing 100000, China. liurong301@126.com.

World Journal of Gastroenterology
|September 13, 2023
PubMed
Summary

Robotic liver resection (RLR) guidelines were updated by international experts to improve patient outcomes. This consensus document provides evidence-based recommendations for safe and effective RLR clinical practice and future research.

Keywords:
Expert consensusGuidelinesLaparoscopic liver resectionRobotic liver resection

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Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Technology

Background:

  • Robotic liver resection (RLR) adoption is increasing, yet clinical practice variations and controversies persist.
  • Previous consensus statements provide a foundation for current RLR practice.
  • Advancements in robotic surgical systems offer potential benefits but require updated guidance.

Purpose of the Study:

  • To update clinical recommendations for robotic liver resection (RLR).
  • To provide expert guidance for improving outcomes in RLR procedures.
  • To establish a consensus for safe and effective RLR clinical practice.

Main Methods:

  • Formation of a guideline steering group and expert group comprising 29 international liver surgery and evidence-based medicine (EBM) specialists.
  • Comprehensive review and analysis of relevant literature by an evidence evaluation group.
  • Development of 14 recommendations following WHO Handbook for Guideline Development and Chinese guidelines, utilizing the GRADE method for 8 recommendations and expert consensus for the remaining 6.

Main Results:

  • A total of 14 updated clinical recommendations for robotic liver resection (RLR) were generated.
  • Eight recommendations were evidence-based, formulated using the GRADE method.
  • Six recommendations were based on literature review and expert opinion due to limited EBM data.

Conclusions:

  • This international expert consensus guideline offers crucial direction for the safe and effective clinical application of RLR.
  • The guideline aims to standardize and enhance patient outcomes in robotic liver surgery.
  • It also identifies key research directions for the future advancement of RLR.