International Consensus Statement on Robotic Hepatectomy Surgery in 2018

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2019 Apr 6

PMID 30948907

Citations 80

Authors

Rong Liu

Go Wakabayashi

Hong-Jin Kim

Gi-Hong Choi

Anusak Yiengpruksawan

Yuman Fong

Jin He

Ugo Boggi

Roberto I Troisi

Mikhail Efanov

Daniel Azoulay

Fabrizio Panaro

Patrick Pessaux

Xiao-Ying Wang

Ji-Ye Zhu

Shao-Geng Zhang

Chuan-Dong Sun

Zheng Wu

Kai-Shan Tao

Ke-Hu Yang

Jia Fan

Xiao-Ping Chen

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

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References

Litynski G . Profiles in laparoscopy: Mouret, Dubois, and Perissat: the laparoscopic breakthrough in Europe (1987-1988). JSLS. 1999; 3(2):163-7. PMC: 3015318. View

Giulianotti P, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T . Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 2003; 138(7):777-84. DOI: 10.1001/archsurg.138.7.777. View

Dindo D, Demartines N, Clavien P . Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004; 240(2):205-13. PMC: 1360123. DOI: 10.1097/01.sla.0000133083.54934.ae. View

Katkhouda N, Fabiani P, Benizri E, Mouiel J . Laser resection of a liver hydatid cyst under videolaparoscopy. Br J Surg. 1992; 79(6):560-1. DOI: 10.1002/bjs.1800790628. View

Reich H, McGlynn F, DeCaprio J, Budin R . Laparoscopic excision of benign liver lesions. Obstet Gynecol. 1991; 78(5 Pt 2):956-8. View

Choi S, Park J, Kim J, Hyung W, Kim K, Yoon D . Early experiences of robotic-assisted laparoscopic liver resection. Yonsei Med J. 2008; 49(4):632-8. PMC: 2615291. DOI: 10.3349/ymj.2008.49.4.632. View

Nguyen K, Clark Gamblin T, Geller D . World review of laparoscopic liver resection-2,804 patients. Ann Surg. 2009; 250(5):831-41. DOI: 10.1097/SLA.0b013e3181b0c4df. View

Buell J, Cherqui D, Geller D, ORourke N, Iannitti D, Dagher I . The international position on laparoscopic liver surgery: The Louisville Statement, 2008. Ann Surg. 2009; 250(5):825-30. DOI: 10.1097/sla.0b013e3181b3b2d8. View

Giulianotti P, Coratti A, Sbrana F, Addeo P, Bianco F, Buchs N . Robotic liver surgery: results for 70 resections. Surgery. 2010; 149(1):29-39. DOI: 10.1016/j.surg.2010.04.002. View

10.

Berber E, Akyildiz H, Aucejo F, Gunasekaran G, Chalikonda S, Fung J . Robotic versus laparoscopic resection of liver tumours. HPB (Oxford). 2010; 12(8):583-6. PMC: 2997665. DOI: 10.1111/j.1477-2574.2010.00234.x. View

11.

Lai E, Tang C, Yang G, Li M . Multimodality laparoscopic liver resection for hepatic malignancy--from conventional total laparoscopic approach to robot-assisted laparoscopic approach. Int J Surg. 2011; 9(4):324-8. DOI: 10.1016/j.ijsu.2011.02.004. View

12.

Giulianotti P, Sbrana F, Coratti A, Bianco F, Addeo P, Buchs N . Totally robotic right hepatectomy: surgical technique and outcomes. Arch Surg. 2011; 146(7):844-50. DOI: 10.1001/archsurg.2011.145. View

13.

Cooper M . Just because you can doesn't mean you should...because many of us really can't!. Arch Surg. 2011; 146(7):850. DOI: 10.1001/archsurg.2011.130. View

14.

Giulianotti P, Tzvetanov I, Jeon H, Bianco F, Spaggiari M, Oberholzer J . Robot-assisted right lobe donor hepatectomy. Transpl Int. 2011; 25(1):e5-9. DOI: 10.1111/j.1432-2277.2011.01373.x. View

15.

Lai E, Tang C, Li M . Robot-assisted laparoscopic hemi-hepatectomy: technique and surgical outcomes. Int J Surg. 2011; 10(1):11-5. DOI: 10.1016/j.ijsu.2011.10.005. View

16.

Choi G, Choi S, Kim S, Hwang H, Kang C, Choi J . Robotic liver resection: technique and results of 30 consecutive procedures. Surg Endosc. 2012; 26(8):2247-58. DOI: 10.1007/s00464-012-2168-9. View

17.

Patriti A, Ceribelli C, Ceccarelli G, Bartoli A, Bellochi R, Casciola L . Non-cirrhotic liver tolerance to intermittent inflow occlusion during laparoscopic liver resection. Updates Surg. 2012; 64(2):87-93. DOI: 10.1007/s13304-012-0144-5. View

18.

Buchs N, Addeo P, Bianco F, Gorodner V, Ayloo S, Elli E . Perioperative risk assessment in robotic general surgery: lessons learned from 884 cases at a single institution. Arch Surg. 2012; 147(8):701-8. DOI: 10.1001/archsurg.2012.496. View

19.

Packiam V, Bartlett D, Tohme S, Reddy S, Marsh J, Geller D . Minimally invasive liver resection: robotic versus laparoscopic left lateral sectionectomy. J Gastrointest Surg. 2012; 16(12):2233-8. PMC: 3509231. DOI: 10.1007/s11605-012-2040-1. View

20.

Troisi R, Patriti A, Montalti R, Casciola L . Robot assistance in liver surgery: a real advantage over a fully laparoscopic approach? Results of a comparative bi-institutional analysis. Int J Med Robot. 2013; 9(2):160-6. DOI: 10.1002/rcs.1495. View