Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka
Go Wakabayashi,Daniel Cherqui,David A. Geller,Joseph E. Buell,Hironori Kaneko,Ho-Seong Han,Horacio J. Asbun,Nicholas O'Rourke,Minoru Tanabe,Alan J. Koffron,Allan Tsung,Olivier Soubrane,Marcel Autran C. Machado,Brice Gayet,Roberto Troisi,Patrick Pessaux,Ronald M. van Dam,Olivier Scatton,Mohammad Abu Hilal,Giulio Belli,Choon Hyuck David Kwon,Bjørn Edwin,Gi Hong Choi,Luca Aldrighetti,Xiujun Cai,Sean Clemy,Kuo-Hsin Chen,Michael R. Schoen,Atsushi Sugioka,Chung-Ngai Tang,Paulo Herman,Juan Pekolj,Xiao Ping Chen,Ibrahim Dagher,William R. Jarnagin,Masakazu Yamamoto,Russell W. Strong,Palepu Jagannath,Chung Mau Lo,Pierre-Alain Clavien,Norihiro Kokudo,Jeffrey Barkun,Steven M. Strasberg +42 more
TLDR
The Second International Consensus Conference on Laparoscopic Liver Resections (LLR) was held in Morioka, Japan, from October 4 to 6, 2014 to evaluate the current status of laparoscopic liver surgery and to provide recommendations to aid its future development.Abstract:
The use of laparoscopy for liver surgery is increasing rapidly. The Second International Consensus Conference on Laparoscopic Liver Resections (LLR) was held in Morioka, Japan, from October 4 to 6, 2014 to evaluate the current status of laparoscopic liver surgery and to provide recommendations to aid its future development. Seventeen questions were addressed. The first 7 questions focused on outcomes that reflect the benefits and risks of LLR. These questions were addressed using the Zurich-Danish consensus conference model in which the literature and expert opinion were weighed by a 9-member jury, who evaluated LLR outcomes using GRADE and a list of comparators. The jury also graded LLRs by the Balliol Classification of IDEAL. The jury concluded that MINOR LLRs had become standard practice (IDEAL 3) and that MAJOR liver resections were still innovative procedures in the exploration phase (IDEAL 2b). Continued cautious introduction of MAJOR LLRs was recommended. All of the evidence available for scrutiny was of LOW quality by GRADE, which prompted the recommendation for higher quality evaluative studies. The last 10 questions focused on technical questions and the recommendations were based on literature review and expert panel opinion. Recommendations were made regarding preoperative evaluation, bleeding controls, transection methods, anatomic approaches, and equipment. Both experts and jury recognized the need for a formal structure of education for those interested in performing major laparoscopic LLR because of the steep learning curve.read more
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EASL-EORTC clinical practice guidelines : management of hepatocellular carcinoma
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Comparative Short-term Benefits of Laparoscopic Liver Resection: 9000 Cases and Climbing.
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Laparoscopic Versus Open Resection for Colorectal Liver Metastases: The OSLO-COMET Randomized Controlled Trial.
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The Southampton Consensus Guidelines for Laparoscopic Liver Surgery: From Indication to Implementation.
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TL;DR: The Southampton Guidelines have amalgamated the available evidence and a wealth of experts’ knowledge taking in consideration the relevant stakeholders’ opinions and complying with the international methodology standards.
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References
More filters
Journal ArticleDOI
Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.
TL;DR: The new complication classification appears reliable and may represent a compelling tool for quality assessment in surgery in all parts of the world.
Journal ArticleDOI
GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
Gordon H. Guyatt,Andrew D Oxman,Gunn Elisabeth Vist,Regina Kunz,Yngve Falck-Ytter,Pablo Alonso-Coello,Holger J. Schünemann +6 more
TL;DR: The advantages of the GRADE system are explored, which is increasingly being adopted by organisations worldwide and which is often praised for its high level of consistency.
Journal ArticleDOI
Methodological index for non-randomized studies (minors): development and validation of a new instrument.
TL;DR: The aim of the present study was to develop and validate an instrument that can be used to determine the methodological quality of observational or non‐randomized studies in surgical research.
Journal ArticleDOI
No surgical innovation without evaluation: the IDEAL recommendations.
Peter McCulloch,Douglas G. Altman,W Bruce Campbell,David R. Flum,Paul Glasziou,John C. Marshall,Jon Nicholl +6 more
TL;DR: Recommendations for the assessment of surgery based on a five-stage description of the surgical development process are proposed and the widespread use of prospective databases and registries are encouraged.
Journal ArticleDOI
The international position on laparoscopic liver surgery: The Louisville Statement, 2008.
Joseph F. Buell,Daniel Cherqui,David A. Geller,Nicholas O'Rourke,David A. Iannitti,Ibrahim Dagher,Alan J. Koffron,M.J. Thomas,Brice Gayet,Ho-Seong Han,Go Wakabayashi,Giulio Belli,Hironori Kaneko,Chen Guo Ker,Olivier Scatton,Alexis Laurent,Eddie K. Abdalla,Prosanto Chaudhury,Erik Dutson,Clark Gamblin,Michael I. D’Angelica,David M. Nagorney,Giuliano Testa,Daniel M. Labow,Derrik Manas,Ronnie T.P. Poon,Heidi Nelson,Robert C.G. Martin,Bryan M. Clary,Wright C. Pinson,John B. Martinie,Jean Nicolas Vauthey,Robert M. Goldstein,Sasan Roayaie,David Barlet,Joseph Espat,Michael Abecassis,Myrddin Rees,Yuman Fong,Kelly M. McMasters,Christoph E. Broelsch,Ronald W. Busuttil,Jacques Belghiti,Steven M. Strasberg,Ravi S. Chari +44 more
TL;DR: Laparoscopic liver surgery is a safe and effective approach to the management of surgical liver disease in the hands of trained surgeons with experience in hepatobiliary and laparoscopic surgery, and national and international societies should become involved in the goal of establishing training standards and credentialing.
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