机构地区：[1]Faculty of Hepatopancreatobiliary Surgery,The First Medical Center of Chinese People’s Liberation Army(PLA)General Hospital,Beijing,China [2]Department of Surgery,Poliambulanza Foundation Hospital,Brescia,Italy [3]Department of Surgery,University Hospital Southampton NHS Foundation Trust,Southampton,UK [4]Amsterdam UMC,location University of Amsterdam,Department of Surgery,Amsterdam,The Netherlands [5]Cancer Center Amsterdam,Amsterdam,The Netherlands [6]Department of General,Visceral and Thoracic Surgery,University Hospital Hamburg-Eppendorf,Hamburg,Germany [7]Department of Minimal Invasive Hernia Surgery,GEM Hospital and Research Centre,Chennai,Tamil Nadu,India [8]Department of General Surgery,Peking Union Medical College Hospital Beijing,Beijing,China [9]Department of Surgery,Johns Hopkins University School of Medicine,Baltimore,MD,USA [10]Division of General and Transplant Surgery,University of Pisa,Pisa,Italy [11]Department of Surgery,Seoul National University Hospital,Seoul National University College of Medicine,Seoul,Korea [12]Department of Surgery/Division of HBP Surgery&Transplantation,University of Montpellier,Montpellier,France [13]Department of Hepatopancreatobiliary and Transplant Surgery,Singapore General Hospital and National Cancer Centre Singapore,Singapore,Singapore [14]Department of Hepato-Pancreato-Biliary Surgery,Moscow Clinical Scientific Center,Moscow,Russia [15]Department of Gastrointestinal and Pediatric Surgery,Tokyo Medical University,Shinjuku,Tokyo,Japan [16]Department of Surgery,Yeungnam University College of Medicine,Daegu,Korea [17]Department of Pancreato-Biliary Surgery,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou,China [18]18 [19]Division of Hepatobiliary,Pancreatic Surgery and Liver Transplantation,National University Hospital,Singapore,Singapore [20]Department of Surgery,Galilee Medical Center,Nahariya,Israel [21]Department of Surgery,Seoul National University Bundang Hospital,Seoul National University College of Medicine,Seongnam-si,Korea [22]Division
出 处：《Hepatobiliary Surgery and Nutrition》2024年第1期89-104,共16页肝胆外科与营养（英文）
摘 要：Background:With the rapid development of robotic surgery,especially for the abdominal surgery,robotic pancreatic surgery(RPS)has been applied increasingly around the world.However,evidence-based guidelines regarding its application,safety,and efficacy are still lacking.To harvest robust evidence and comprehensive clinical practice,this study aims to develop international guidelines on the use of RPS.Methods:World Health Organization(WHO)Handbook for Guideline Development,GRADE Grid method,Delphi vote,and the AGREE-II instrument were used to establish the Guideline Steering Group,Guideline Development Group,and Guideline Secretary Group,formulate 19 clinical questions,develop the recommendations,and draft the guidelines.Three online meetings were held on 04/12/2020,30/11/2021,and 25/01/2022 to vote on the recommendations and get advice and suggestions from all involved experts.All the experts focusing on minimally invasive surgery from America,Europe and Oceania made great contributions to this consensus guideline.Results:After a systematic literature review 176 studies were included,19 questions were addressed and 14 recommendations were developed through the expert assessment and comprehensive judgment of the quality and credibility of the evidence.Conclusions:The international RPS guidelines can guide current practice for surgeons,patients,medical societies,hospital administrators,and related social communities.Further randomized trials are required to determine the added value of RPS as compared to open and laparoscopic surgery.
关 键 词：Robotic surgery GUIDELINES PANCREATECTOMY PANCREATICODUODENECTOMY distal pancreatectomy(DP)
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