University Hospital Southampton, Southampton, UK.
San Raffaele Hospital, Milan, Italy.
Ann Surg. 2018 Jul;268(1):11-18. doi: 10.1097/SLA.0000000000002524.
The European Guidelines Meeting on Laparoscopic Liver Surgery was held in Southampton on February 10 and 11, 2017 with the aim of presenting and validating clinical practice guidelines for laparoscopic liver surgery.
The exponential growth of laparoscopic liver surgery in recent years mandates the development of clinical practice guidelines to direct the speciality's continued safe progression and dissemination.
A unique approach to the development of clinical guidelines was adopted. Three well-validated methods were integrated: the Scottish Intercollegiate Guidelines Network methodology for the assessment of evidence and development of guideline statements; the Delphi method of establishing expert consensus, and the AGREE II-GRS Instrument for the assessment of the methodological quality and external validation of the final statements.
Along with the committee chairman, 22 European experts; 7 junior experts and an independent validation committee of 11 international surgeons produced 67 guideline statements for the safe progression and dissemination of laparoscopic liver surgery. Each of the statements reached at least a 95% consensus among the experts and were endorsed by the independent validation committee.
The European Guidelines Meeting for Laparoscopic Liver Surgery has produced a set of clinical practice guidelines that have been independently validated for the safe development and progression of laparoscopic liver surgery. The Southampton Guidelines have amalgamated the available evidence and a wealth of experts' knowledge taking in consideration the relevant stakeholders' opinions and complying with the international methodology standards.
腹腔镜肝脏手术欧洲指南会议于 2017 年 2 月 10 日和 11 日在南安普敦举行，旨在提出并验证腹腔镜肝脏手术的临床实践指南。
近年来腹腔镜肝脏手术的指数级增长要求制定临床实践指南，以指导该专业的持续安全发展和传播。
采用了一种独特的临床指南制定方法。综合了三种经过充分验证的方法：苏格兰校际指南网络（Scottish Intercollegiate Guidelines Network）评估证据和制定指南声明的方法；建立专家共识的德尔菲（Delphi）法；以及评估最终声明的方法学质量和外部验证的 AGREE II-GRS 工具。
22 位欧洲专家；7 位初级专家；以及一个由 11 位国际外科医生组成的独立验证委员会，与委员会主席一起制定了 67 项腹腔镜肝脏手术安全发展和传播的指南声明。每个声明都在专家中达到了至少 95%的共识，并得到了独立验证委员会的认可。
腹腔镜肝脏手术欧洲指南会议制定了一套临床实践指南，这些指南已经过独立验证，可安全地发展和推进腹腔镜肝脏手术。南安普敦指南结合了现有的证据和丰富的专家知识，考虑了相关利益相关者的意见，并符合国际方法学标准。
