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International consensus statement on robotic hepatectomy surgery in 2018.
- Source :
-
World journal of gastroenterology [World J Gastroenterol] 2019 Mar 28; Vol. 25 (12), pp. 1432-1444. - Publication Year :
- 2019
-
Abstract
- The robotic surgical system has been applied in liver surgery. However, controversies concerns exist regarding a variety of factors including the safety, feasibility, efficacy, and cost-effectiveness of robotic surgery. To promote the development of robotic hepatectomy, this study aimed to evaluate the current status of robotic hepatectomy and provide sixty experts' consensus and recommendations to promote its development. Based on the World Health Organization 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 22 topics were prepared analyzed and widely discussed during the 4 meetings. Based on the published articles and expert panel opinion, 7 recommendations were generated by the GRADE method using an evidence-based method, which focused on the safety, feasibility, indication, techniques and cost-effectiveness of hepatectomy. Given that the current evidences were low to very low as evaluated by the GRADE method, further randomized-controlled trials are needed in the future to validate these recommendations.<br />Competing Interests: Conflict-of-interest statement: The authors declare no conflict of interest in the development of consensus.
- Subjects :
- Delphi Technique
Gastroenterology methods
Gastroenterology standards
Hepatectomy adverse effects
Hepatectomy methods
Humans
Laparoscopy adverse effects
Laparoscopy methods
Randomized Controlled Trials as Topic
Robotic Surgical Procedures adverse effects
Robotic Surgical Procedures methods
Treatment Outcome
Consensus
Hepatectomy standards
Laparoscopy standards
Liver Diseases surgery
Robotic Surgical Procedures standards
Subjects
Details
- Language :
- English
- ISSN :
- 2219-2840
- Volume :
- 25
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- World journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 30948907
- Full Text :
- https://doi.org/10.3748/wjg.v25.i12.1432