英国和爱尔兰上消化道外科协会（AUGIS）关于采用机器人上消化道外科手术的共识建议。
Association of Upper GI Surgery of Great Britain and Ireland (AUGIS) Delphi consensus recommendations on the adoption of robotic upper GI surgery.
机构信息
Portsmouth Hospitals NHS Trust, UK.
Oxford University Hospitals NHS Trust, UK.
出版信息
Ann R Coll Surg Engl. 2024 Nov;106(8):688-693. doi: 10.1308/rcsann.2024.0014. Epub 2024 Mar 6.
BACKGROUND
The adoption of robotic platforms in upper gastrointestinal (GI) surgery is expanding rapidly. The absence of centralised guidance and governance in adoption of new surgical technologies may lead to an increased risk of patient harm.
METHODS
Surgeon stakeholders participated in a Delphi consensus process following a national open-invitation in-person meeting on the adoption of robotic upper GI surgery. Consensus agreement was deemed met if >80% agreement was achieved.
RESULTS
Following two rounds of Delphi voting, 25 statements were agreed on covering the training process, governance and good practice for surgeons' adoption in upper GI surgery. One statement failed to achieve consensus.
CONCLUSIONS
These recommendations are intended to support surgeons, patients and health systems in the adoption of robotics in upper GI surgery.
背景
机器人平台在上消化道（GI）手术中的应用正在迅速扩展。在采用新技术时缺乏集中的指导和管理，可能会增加患者受到伤害的风险。
方法
外科医生利益相关者参加了在上消化道机器人手术采用方面的全国公开邀请的现场会议之后的德尔菲共识流程。如果>80%的意见达成一致，则被认为达成了共识。
结果
经过两轮德尔菲投票，就上消化道手术中外科医生采用机器人的培训过程、治理和良好实践达成了 25 项共识声明。有一项声明未能达成共识。
结论
这些建议旨在支持外科医生、患者和卫生系统在采用上消化道机器人手术方面的应用。
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