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International consensus statement on robotic hepatectomy surgery in 2018

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单位: [1]Chinese Peoples Liberat Army PLA Gen Hosp, Dept Hepatopancreatobiliary Surg 2, 28 Fuxing Rd, Beijing 100853, Peoples R China [2]Ageo Cent Gen Hosp, Ctr Adv Treatment Hepatobiliary & Pancreat Dis, Ageo 3628588, Japan [3]Yeungnam Univ Hosp, Dept Surg, Daegu 705703, South Korea [4]Yonsei Univ, Dept Surg, Div HBP Surg, Coll Med, Seoul 03722, South Korea [5]Mahidol Univ, Siriraj Hosp, Fac Med, Minimally Invas Surg Div,Dept Surg, Bangkok, Thailand [6]City Hope Med Ctr, Dept Surg, Duarte, CA 91010 USA [7]Johns Hopkins Univ Hosp, Dept Surg, Baltimore, MD 21287 USA [8]Pisa Univ Hosp, Div Gen & Transplant Surg, I-56124 Pisa, Italy [9]Univ Naples Federico II, Dept Clin Med & Surg, I-80131 Naples, Italy [10]Moscow Clin Sci Ctr, Dept & Hepatopancreatobiliary Surg, Moscow 11123, Russia [11]Paul Browse Univ Hosp, Hepatobiliary Ctr, F-94000 Villejuif, France [12]Tel Hashomer Univ Hosp, Hepatobiliary Ctr, Tel Aviv, Israel [13]Montpellier Univ Hosp, Sch Med, Dept Surg, Div HBP Surg & Transplantat, F-34000 Montpellier, France [14]Nouvel Hop Civil, Hepatobiliary & Pancreat Surg Unit, F-67091 Strasbourg, France [15]Fudan Univ, Zhongshan Hosp, Dept Liver Surg & Transplantat, Liver Canc Inst, Shanghai 200032, Peoples R China [16]Peking Univ, Dept Hepatobiliary Surg, Peoples Hosp, Beijing 100044, Peoples R China [17]302 Hosp Chinese PLA, Dept Hepatobiliary Surg, Beijing 100039, Peoples R China [18]Qingdao Univ, Affiliated Hosp, Dept Hepatobiliary & Pancreat Surg, Qingdao 266071, Peoples R China [19]Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Shaanxi, Peoples R China [20]Fourth Mil Med Univ, Xijing Hosp, Dept Hepatobiliary Surg, Xian 710032, Shaanxi, Peoples R China [21]Lanzhou Univ, Sch Basic Med Sci, Evidence Based Med Ctr, Lanzhou 730000, Gansu, Peoples R China [22]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Hepat Surg Ctr,Wuhan 430030,Hubei,Peoples R China
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关键词: Minimally invasive surgery Robotic hepatectomy Laparoscopic hepatectomy Hepatectomy resection Consensus statement

摘要:
The robotic surgical system has been applied in liver surgery. However, controversies concerns exist regarding a variety of factors including the safety, feasibility, efficacy, and cost-effectiveness of robotic surgery. To promote the development of robotic hepatectomy, this study aimed to evaluate the current status of robotic hepatectomy and provide sixty experts' consensus and recommendations to promote its development. Based on the World Health Organization Handbook for Guideline Development, a Consensus Steering Group and a Consensus Development Group were established to determine the topics, prepare evidence-based documents, and generate recommendations. The GRADE Grid method and Delphi vote were used to formulate the recommendations. A total of 22 topics were prepared analyzed and widely discussed during the 4 meetings. Based on the published articles and expert panel opinion, 7 recommendations were generated by the GRADE method using an evidence-based method, which focused on the safety, feasibility, indication, techniques and cost-effectiveness of hepatectomy. Given that the current evidences were low to very low as evaluated by the GRADE method, further randomized-controlled trials are needed in the future to validate these recommendations.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 3 区 胃肠肝病学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 胃肠肝病学
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出版当年[2017]版:
Q2 GASTROENTEROLOGY & HEPATOLOGY
最新[2023]版:
Q1 GASTROENTEROLOGY & HEPATOLOGY

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第一作者单位: [1]Chinese Peoples Liberat Army PLA Gen Hosp, Dept Hepatopancreatobiliary Surg 2, 28 Fuxing Rd, Beijing 100853, Peoples R China
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