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