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. 2024 Jan 1;279(1):45-57.
doi: 10.1097/SLA.0000000000006006. Epub 2023 Jul 14.

The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS)

Mohammad Abu Hilal  1 , Tess M E van Ramshorst  1   2   3 , Ugo Boggi  4 , Safi Dokmak  5 , Bjørn Edwin  6 , Tobias Keck  7 , Igor Khatkov  8 , Jawad Ahmad  9 , Hani Al Saati  10 , Adnan Alseidi  11 , Juan S Azagra  12 , Bergthor Björnsson  13 , Fatih M Can  14 , Mathieu D'Hondt  15 , Mikhail Efanov  8 , Francisco Espin Alvarez  16 , Alessandro Esposito  17 , Giovanni Ferrari  18 , Bas Groot Koerkamp  19 , Andrew A Gumbs  20 , Melissa E Hogg  21 , Cristiano G S Huscher  22 , Benedetto Ielpo  23 , Arpad Ivanecz  24 , Jin-Young Jang  25 , Rong Liu  26 , Misha D P Luyer  27 , Krishna Menon  28 , Masafumi Nakamura  29 , Tullio Piardi  30 , Olivier Saint-Marc  31 , Steve White  32 , Yoo-Seok Yoon  33 , Alessandro Zerbi  34 , Claudio Bassi  17 , Frederik Berrevoet  35 , Carlos Chan  36 , Felipe J Coimbra  37 , Kevin C P Conlon  38 , Andrew Cook  39 , Christos Dervenis  40 , Massimo Falconi  41 , Clarissa Ferrari  42 , Isabella Frigerio  43 , Giuseppe K Fusai  44 , Michelle L De Oliveira  45 , Antonio D Pinna  46 , John N Primrose  47 , Alain Sauvanet  48 , Alejandro Serrablo  49 , Sameer Smadi  50 , Ali Badran  1 , Magomet Baychorov  8 , Elisa Bannone  1 , Eduard A van Bodegraven  2   3 , Anouk M L H Emmen  2   3 , Alessandro Giani  18 , Nine de Graaf  2   3 , Jony van Hilst  2   3 , Leia R Jones  2   3 , Giovanni B Levi Sandri  51 , Alessandra Pulvirenti  1 , Marco Ramera  1 , Niki Rashidian  35 , Mushegh A Sahakyan  52   53   54 , Bas A Uijterwijk  1   2   3 , Pietro Zampedri  1 , Maurice J W Zwart  2   3 , Sergio Alfieri  55 , Stefano Berti  56 , Giovanni Butturini  43 , Fabrizio Di Benedetto  57 , Giuseppe M Ettorre  51 , Felice Giuliante  55 , Elio Jovine  58 , Riccardo Memeo  59 , Nazario Portolani  60 , Andrea Ruzzenente  61 , Roberto Salvia  17 , Ajith K Siriwardena  62 , Marc G Besselink  2   3 , Horacio J Asbun  63 ; Collaborators
Collaborators, Affiliations

The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS)

Mohammad Abu Hilal et al. Ann Surg. .

Abstract

Objective: To develop and update evidence-based and consensus-based guidelines on laparoscopic and robotic pancreatic surgery.

Summary background data: Minimally invasive pancreatic surgery (MIPS), including laparoscopic and robotic surgery, is complex and technically demanding. Minimizing the risk for patients requires stringent, evidence-based guidelines. Since the International Miami Guidelines on MIPS in 2019, new developments and key publications have been reported, necessitating an update.

Methods: Evidence-based guidelines on 22 topics in 8 domains were proposed: terminology, indications, patients, procedures, surgical techniques and instrumentation, assessment tools, implementation and training, and artificial intelligence. The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS, September 2022) used the Scottish Intercollegiate Guidelines Network (SIGN) methodology to assess the evidence and develop guideline recommendations, the Delphi method to establish consensus on the recommendations among the Expert Committee, and the AGREE II-GRS tool for guideline quality assessment and external validation by a Validation Committee.

Results: Overall, 27 European experts, 6 international experts, 22 international Validation Committee members, 11 Jury Committee members, 18 Research Committee members, and 121 registered attendees of the 2-day meeting were involved in the development and validation of the guidelines. In total, 98 recommendations were developed, including 33 on laparoscopic, 34 on robotic, and 31 on general MIPS, covering 22 topics in 8 domains. Out of 98 recommendations, 97 reached at least 80% consensus among the experts and congress attendees, and all recommendations were externally validated by the Validation Committee.

Conclusions: The EGUMIPS evidence-based guidelines on laparoscopic and robotic MIPS can be applied in current clinical practice to provide guidance to patients, surgeons, policy-makers, and medical societies.

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