International consensus statement on robotic pancreatic surgery

被引：98

作者：

Liu, Rong ^{[1
]}

Wakabayashi, Go ^{[2
]}

Palanivelu, Chinnusamy ^{[3
]}

Tsung, Allan ^{[4
]}

Yang, Kehu ^{[5
]}

Goh, Brian K. P. ^{[6
]}

Chong, Charing Ching-Ning ^{[7
]}

Kang, Chang Moo ^{[8
]}

Peng, Chenghong ^{[9
]}

Kakiashvili, Eli ^{[10
]}

Han, Ho-Seong ^{[11
]}

Kim, Hong-Jin ^{[12
]}

He, Jin ^{[13
]}

Lee, Jae Hoon ^{[14
]}

Takaori, Kyoichi ^{[15
]}

Marino, Marco Vito ^{[16
]}

Wang, Shen-Nien ^{[17
]}

Guo, Tiankang ^{[18
]}

Hackert, Thilo ^{[19
]}

Huang, Ting-Shuo ^{[20
]}

Anusak, Yiengpruksawan ^{[21
]}

Fong, Yuman ^{[22
]}

Nagakawa, Yuichi ^{[23
]}

Shyr, Yi-Ming ^{[24
,25
]}

Wu, Yao-Ming ^{[26
]}

Zhao, Yupei ^{[27
,28
]}

机构：

[1] Chinese Peoples Liberat Army PLA Gen Hosp, Dept Hepatopancreatobiliary Surg Oncol, Beijing 100853, Peoples R China

[2] Ageo Cent Gen Hosp, Ctr Adv Treatment IIepatobiliary & Pancreat Dis, Ageo, Japan

[3] Gem Hosp & Res Ctr, Div Gastrointestinal Surg & Minimal Access Surg, Coimbatore, Tamil Nadu, India

[4] Ohio State Univ, Dept Surg, Wexner Med Ctr, Div Surg Oncol,Gastrointestinal Dis Specif Res Gr, Columbus, OH 43210 USA

[5] Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, Lanzhou 730000, Gansu, Peoples R China

[6] Singapore Gen Hosp, Dept Hepatopancreatobiliary & Transplant Surg, Singapore, Singapore

[7] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Surg, Div Hepatobiliary & Pancreat Surg, Hong Kong, Peoples R China

[8] Yonsei Univ, Yonsei Canc Ctr, Coll Med, Div HBP Surg,Pancreatobiliary Canc Ctr,Severance, Seoul, South Korea

[9] Shanghai Jiao Tong Univ, Ruijin Hosp, Pancreat Dis Ctr, Sch Med, Shanghai 200025, Peoples R China

[10] Galilee Med Ctr, Dept Gen Surg, Nahariyya, Israel

[11] Seoul Natl Univ, Bundang Hosp, Coll Med, Dept Surg, Seoul, South Korea

[12] Yeungnam Univ Hosp, Dept Surg, Daegu, South Korea

[13] Johns Hopkins Univ Hosp, Dept Surg, Baltimore, MD 21287 USA

[14] Asan Med Ctr, Dept Surg, Div Hepatobiliary & Pancreas Surg, Seoul, South Korea

[15] Kyoto Univ Hosp, Dept Surg, Sakyo Ku, Kyoto, Japan

[16] Osped Riuniti Villa Sofia Cervello, Dept Gen Surg, Azienda Osped, Palermo, Italy

[17] Kaohsiung Med Univ Hosp, Dept Surg, Div Gen & Digest Surg, Kaohsiung, Taiwan

[18] Gansu Prov Hosp, Dept Gen Surg, Lanzhou 730030, Gansu, Peoples R China

[19] Heidelberg Univ Hosp, Dept Gen Visceral & Transplantat Surg, Heidelberg, Germany

[20] Chang Gung Mem Hosp, Dept Surg, Div Gen Surg, Keelung, Taiwan

[21] Mahidol Univ, Siriraj Hosp, Fac Med, Minimally Invas Surg Div,Dept Surg, Bangkok, Thailand

[22] City Hope Med Ctr, Dept Surg, Duarte, CA USA

[23] Tokyo Med Univ, Dept Gastrointestinal & Pediat Surg, Tokyo, Japan

[24] Taipei Vet Gen Hosp, Dept Surg, Taipei, Taiwan

[25] Natl Yang Ming Univ, Taipei, Taiwan

[26] Natl Taiwan Univ Hosp, Dept Surg, Taipei, Taiwan

[27] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Gen Surg, Beijing 100730, Peoples R China

[28] Peking Union Med Coll, Beijing 100730, Peoples R China

来源：

HEPATOBILIARY SURGERY AND NUTRITION | 2019年 / 8卷 / 04期

基金：

中国国家自然科学基金;

关键词：

Robotic surgery; consensus statement; pancreatectomy; pancreaticoduodenectomy; pancreatic enucleation; LAPAROSCOPIC DISTAL PANCREATECTOMY; SCORE-MATCHED ANALYSIS; SOLID PSEUDOPAPILLARY TUMOR; SINGLE-CENTER EXPERIENCE; OPEN PANCREATICODUODENECTOMY; LEARNING-CURVE; PERIOPERATIVE OUTCOMES; INITIAL-EXPERIENCE; MIDDLE PANCREATECTOMY; EUROPEAN ASSOCIATION;

D O I：

10.21037/hbsn.2019.07.08

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The robotic surgical system has been applied to various types of pancreatic surgery. However, controversies exist regarding a variety of factors including the safety, feasibility, efficacy, and cost-effectiveness of robotic surgery. This study aimed to evaluate the current status of robotic pancreatic surgery and put forth experts' consensus and recommendations to promote its development. Based on the WHO 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 19 topics were analyzed. The first 16 recommendations were generated by GRADE using an evidence-based method (EBM) and focused on the safety, feasibility, indication, techniques, certification of the robotic surgeon, and cost-effectiveness of robotic pancreatic surgery. The remaining three recommendations were based on literature review and expert panel opinion due to insufficient EBM results. Since the current amount of evidence was low/meager as evaluated by the GRADE method, further randomized controlled trials (RCTs) are needed in the future to validate these recommendations.

引用

页码：345 / 360

页数：16

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