Broering Dieter C, Benedetti Enrico
Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center. MBC 96, P.O. Box 3354, Riyadh 11211, Saudi Arabia.
Division of Transplantation, Department of Surgery. University of Illinois at Chicago Hospital and Health Sciences System. 840 S Wood Street, Suite 402 (MC 958), Chicago, IL 60612, USA.
Ann Surg. 2025 Jun 20. doi: 10.1097/SLA.0000000000006804.
The Minimally Invasive Organ Transplant Consensus Conference (MIOT.CC) aimed to develop evidence-based recommendations for advancing minimally invasive techniques in organ transplantation.
Minimally invasive approaches (laparoscopic/robotic) are underutilized in transplantation compared to other specialties, despite potential advantages such as reduced morbidity and faster recovery.
The conference Held in Riyadh, Saudi Arabia (December 2024) included international experts in minimally invasive donation and/or transplantation of the kidney, liver, pancreas, lung, heart, and uterus. Using the Danish Model of Consensus, participants reviewed current practice and evidence to formulate recommendations. The process included systematic literature reviews according to PRISMA guidelines and assessment of evidence quality using the GRADE approach.
Minimally invasive approaches consistently reduced postoperative pain, complications, and hospital stay. Specific recommendations were derived for each organ, with particular attention to donor safety and to the expansion of robotic techniques, if appropriately supported by locally available technology and experience.
MIOT.CC delineated a framework to disseminate minimally invasive techniques in both organ donation and transplantation. These recommendations can guide centers worldwide to first implement and subsequently optimize minimally invasive approaches through ongoing evaluation and adaptation based on emerging evidence and technological advancements.
微创器官移植共识会议（MIOT.CC）旨在制定基于证据的建议，以推进器官移植中的微创技术。
与其他专科相比，微创方法（腹腔镜/机器人辅助）在移植领域的应用不足，尽管其具有降低发病率和更快康复等潜在优势。
该会议于2024年12月在沙特阿拉伯利雅得举行，与会者包括肾脏、肝脏、胰腺、肺、心脏和子宫微创捐赠和/或移植领域的国际专家。采用丹麦共识模型，与会者回顾了当前的实践和证据，以制定建议。该过程包括根据PRISMA指南进行系统的文献综述，并使用GRADE方法评估证据质量。
微创方法持续减少术后疼痛、并发症和住院时间。针对每个器官都得出了具体建议，特别关注供体安全以及在当地可用技术和经验适当支持下机器人技术的扩展。
MIOT.CC勾勒了一个在器官捐赠和移植中推广微创技术的框架。这些建议可以指导全球各中心首先实施微创方法，随后通过基于新出现的证据和技术进步进行持续评估和调整来优化微创方法。
