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2023 年国际专家机器人肝切除术共识指南。

International experts consensus guidelines on robotic liver resection in 2023.

机构信息

Faculty of Hepato-Pancreato-Biliary Surgery, The First Medical Center of Chinese PLA General Hospital, Beijing 100000, China.

Hepatobiliary Pancreatic, Robotic & Laparoscopic Surgery, Poliambulanza Foundation Hospital, Brescia 25100, Italy.

出版信息

World J Gastroenterol. 2023 Aug 28;29(32):4815-4830. doi: 10.3748/wjg.v29.i32.4815.


DOI:10.3748/wjg.v29.i32.4815
PMID:37701136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10494765/
Abstract

The robotic liver resection (RLR) has been increasingly applied in recent years and its benefits shown in some aspects owing to the technical advancement of robotic surgical system, however, controversies still exist. Based on the foundation of the previous consensus statement, this new consensus document aimed to update clinical recommendations and provide guidance to improve the outcomes of RLR clinical practice. The guideline steering group and guideline expert group were formed by 29 international experts of liver surgery and evidence-based medicine (EBM). Relevant literature was reviewed and analyzed by the evidence evaluation group. According to the WHO Handbook for Guideline Development, the Guidance Principles of Development and Amendment of the Guidelines for Clinical Diagnosis and Treatment in China 2022, a total of 14 recommendations were generated. Among them were 8 recommendations formulated by the GRADE method, and the remaining 6 recommendations were formulated based on literature review and experts' opinion due to insufficient EBM results. This international experts consensus guideline offered guidance for the safe and effective clinical practice and the research direction of RLR in future.

摘要

近年来,机器人肝切除术(RLR)得到了越来越多的应用,由于机器人手术系统的技术进步,在某些方面显示出了其优势,但仍存在争议。基于先前共识声明的基础,本新共识文件旨在更新临床建议并提供指导,以提高 RLR 临床实践的结果。指南指导小组和指南专家组由 29 名肝脏外科和循证医学(EBM)的国际专家组成。证据评估小组对相关文献进行了审查和分析。根据世界卫生组织《指南制定手册》和《中国 2022 年临床诊断和治疗指南制定与修订的指导原则》,共提出了 14 项建议。其中 8 项建议采用 GRADE 方法制定,其余 6 项建议是基于文献回顾和专家意见制定的,因为循证医学结果不足。本国际专家共识指南为 RLR 的安全有效临床实践和未来的研究方向提供了指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d64/10494765/690aa54acc99/WJG-29-4815-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d64/10494765/690aa54acc99/WJG-29-4815-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d64/10494765/690aa54acc99/WJG-29-4815-g001.jpg

相似文献

[1]
International experts consensus guidelines on robotic liver resection in 2023.

World J Gastroenterol. 2023-8-28

[2]
International consensus statement on robotic hepatectomy surgery in 2018.

World J Gastroenterol. 2019-3-28

[3]
International consensus statement on robotic pancreatic surgery.

Hepatobiliary Surg Nutr. 2019-8

[4]
Expert Consensus Guidelines: How to safely perform minimally invasive anatomic liver resection.

J Hepatobiliary Pancreat Sci. 2022-1

[5]
Utilising the Delphi Process to Develop a Proficiency-based Progression Train-the-trainer Course for Robotic Surgery Training.

Eur Urol. 2019-1-19

[6]
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Ann Surg. 2020-6

[7]
International consensus guidelines on robotic pancreatic surgery in 2023.

Hepatobiliary Surg Nutr. 2024-2-1

[8]
The Asia Pacific Consensus Statement on Laparoscopic Liver Resection for Hepatocellular Carcinoma: A Report from the 7th Asia-Pacific Primary Liver Cancer Expert Meeting Held in Hong Kong.

Liver Cancer. 2018-3

[9]
The future of Cochrane Neonatal.

Early Hum Dev. 2020-11

[10]
Robotic and laparoscopic liver resection-comparative experiences at a high-volume German academic center.

Langenbecks Arch Surg. 2021-5

引用本文的文献

[1]
Modern approach to hepatocellular carcinoma treatment.

World J Hepatol. 2025-8-27

[2]
Global trends and hotspots in robot-assisted laparoscopic surgery for gastrointestinal diseases: a bibliometric and visualization.

J Robot Surg. 2025-9-2

[3]
An easily machine learning-based tool for preliminary risk assessment of microvascular invasion in hepatocellular carcinoma.

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[4]
Key steps of complex robotic liver surgery: an international expert survey.

Surg Endosc. 2025-8-21

[5]
Pencil cleaning technique for robotic liver parenchymal transection: a step further to systematization beyond the microfracture-coagulation method.

J Robot Surg. 2025-7-17

[6]
Comparison of robotic liver resection in obese vs. non-obese patients: a multicentric propensity score-matched analysis of perioperative outcomes.

Updates Surg. 2025-6-29

[7]
Predicting the complexity of robotic liver surgery: a comparative analysis of the IWATE, Kawaguchi-Gayet, Hasegawa, Southampton, and Tampa scores.

Surg Endosc. 2025-8

[8]
Specific Items of Enhanced Recovery After Surgery for Liver Surgery in Cirrhotic Patients: A Systematic Review.

World J Surg. 2025-8

[9]
Robotic-Assisted Anatomical Resection of Liver Segment VIII without Hepatic Portal Occlusion for Cirrhosis Patients.

Ann Surg Oncol. 2025-6-18

[10]
Cost-effectiveness and clinical impact of robotic-assisted hepatectomy.

J Robot Surg. 2025-4-14

本文引用的文献

[1]
Combination immunotherapy for hepatocellular carcinoma.

J Hepatol. 2023-8

[2]
Robotic Central Hepatectomy and Right Anterior Sectionectomy: Minimally Invasive Parenchyma Sparing Surgery for Central Liver Tumors.

J Gastrointest Surg. 2023-2

[3]
Robotic Versus Laparoscopic Left and Extended Left Hepatectomy: An International Multicenter Study Propensity Score-Matched Analysis.

Ann Surg Oncol. 2022-12

[4]
Innovation for the Sake of Innovation? How Does Robotic Hepatectomy Compare to Laparoscopic or Open Resection for HCC-A Systematic Review and Meta-Analysis.

Cancers (Basel). 2022-7-11

[5]
Open to robotic right donor hepatectomy: A tectonic shift in surgical technique.

Clin Transplant. 2022-9

[6]
Systematic review and meta-analysis of difficulty scoring systems for laparoscopic and robotic liver resections.

J Hepatobiliary Pancreat Sci. 2023-1

[7]
Short- and long-term outcomes following robotic and open resection for intrahepatic cholangiocarcinoma: A national cohort study.

Surg Oncol. 2022-8

[8]
Application of da Vinci robot and laparoscopy on repeat hepatocellular carcinoma.

J Minim Access Surg. 2022

[9]
Minimally invasive mesohepatectomy for centrally located liver lesions-a case series.

Surg Endosc. 2022-12

[10]
A systematic review and network meta-analysis of outcomes after open, mini-laparotomy, hybrid, totally laparoscopic, and robotic living donor right hepatectomy.

Surgery. 2022-8

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