International experts consensus guidelines on robotic liver resection in 2023

Rong Liu¹, Mohammed Abu Hilal², Go Wakabayashi³, Ho-Seong Han⁴, Chinnusamy Palanivelu⁵, Ugo Boggi⁶, Thilo Hackert⁷, Hong-Jin Kim⁸, Xiao-Ying Wang⁹, Ming-Gen Hu¹⁰, Gi Hong Choi¹¹, Fabrizio Panaro¹², Jin He¹³, Mikhail Efanov¹⁴, Xiao-Yu Yin¹⁵, Roland S Croner¹⁶, Yu-Man Fong¹⁷, Ji-Ye Zhu¹⁸, Zheng Wu¹⁹, Chuan-Dong Sun²⁰, Jae Hoon Lee²¹, Marco V Marino²², Iyer Shridhar Ganpati²³, Peng Zhu²⁴, Zi-Zheng Wang²⁵, Ke-Hu Yang²⁶, Jia Fan²⁷, Xiao-Ping Chen²⁴, Wan Yee Lau²⁸

Affiliations

¹ Faculty of Hepato-Pancreato-Biliary Surgery, The First Medical Center of Chinese PLA General Hospital, Beijing 100000, China. liurong301@126.com.
² Hepatobiliary Pancreatic, Robotic & Laparoscopic Surgery, Poliambulanza Foundation Hospital, Brescia 25100, Italy.
³ Center for Advanced Treatment of HBP Diseases, Ageo Central General Hospital, Saitama 362-0075, Japan.
⁴ Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul 03080, South Korea.
⁵ GEM Hospital & Research Centre, GEM Hospital & Research Centre, Coimbatore 641045, India.
⁶ Division of General and Transplant Surgery, University of Pisa, Pisa 56126, Italy.
⁷ Department of General, Visceral and Thoracic Surgery, University Hospital Hamburg-Eppendorf, Hamburg 20251, Germany.
⁸ Department of Surgery, Yeungnam University Hospital, Daegu 42415, South Korea.
⁹ Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
¹⁰ Faculty of Hepato-Pancreato-Biliary Surgery, The First Medical Center of Chinese PLA General Hospital, Beijing 100000, China.
¹¹ Division of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Severance Hospital, Yonsei University, College of Medicine, Seoul 03722, South Korea.
¹² Department of Surgery/Division of Robotic and HBP Surgery, Montpellier University Hospital-School of Medicine, Montpellier 34090, France.
¹³ Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21218, United States.
¹⁴ Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center, Moscow 111123, Russia.
¹⁵ Department of Pancreatobiliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China.
¹⁶ Department of General, Visceral, Vascular and Transplant Surgery, University Hospital Magdeburg, Magdeburg 39120, Germany.
¹⁷ Department of Surgery, City of Hope Medical Center, Duarte, CA 91010, United States.
¹⁸ Department of Hepatobiliary Surgery, Peking University People's Hospital, Beijing 100000, China.
¹⁹ Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China.
²⁰ Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
²¹ Division of Hepatobiliary & Pancreatic surgery, Asan Medical Center, University of Ulsan College of Medicine, Ulsan 682, South Korea.
²² General Surgery Department, F. Tappeiner Hospital, Merano 39012, Italy.
²³ Hepatobiliary and Pancreatic Surgery, National University Hospital, Singapore 189969, Singapore.
²⁴ Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, Hubei Province, China.
²⁵ Department of Hepatobiliary Surgery, Senior Department of Hepatology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing 100000, China.
²⁶ Evidence-Based Medicine Center, Lanzhou University, Lanzhou 730000, Gansu Province, China.
²⁷ Zhongshan Hospital, Fudan University, Shanghai 200000, China.
²⁸ Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong 999077, China.

PMID: 37701136
PMCID: PMC10494765
DOI: 10.3748/wjg.v29.i32.4815

Review

International experts consensus guidelines on robotic liver resection in 2023

Rong Liu et al. World J Gastroenterol. 2023.

. 2023 Aug 28;29(32):4815-4830.

doi: 10.3748/wjg.v29.i32.4815.

Authors

Affiliations

¹ Faculty of Hepato-Pancreato-Biliary Surgery, The First Medical Center of Chinese PLA General Hospital, Beijing 100000, China. liurong301@126.com.
² Hepatobiliary Pancreatic, Robotic & Laparoscopic Surgery, Poliambulanza Foundation Hospital, Brescia 25100, Italy.
³ Center for Advanced Treatment of HBP Diseases, Ageo Central General Hospital, Saitama 362-0075, Japan.
⁴ Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul 03080, South Korea.
⁵ GEM Hospital & Research Centre, GEM Hospital & Research Centre, Coimbatore 641045, India.
⁶ Division of General and Transplant Surgery, University of Pisa, Pisa 56126, Italy.
⁷ Department of General, Visceral and Thoracic Surgery, University Hospital Hamburg-Eppendorf, Hamburg 20251, Germany.
⁸ Department of Surgery, Yeungnam University Hospital, Daegu 42415, South Korea.
⁹ Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
¹⁰ Faculty of Hepato-Pancreato-Biliary Surgery, The First Medical Center of Chinese PLA General Hospital, Beijing 100000, China.
¹¹ Division of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Severance Hospital, Yonsei University, College of Medicine, Seoul 03722, South Korea.
¹² Department of Surgery/Division of Robotic and HBP Surgery, Montpellier University Hospital-School of Medicine, Montpellier 34090, France.
¹³ Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21218, United States.
¹⁴ Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center, Moscow 111123, Russia.
¹⁵ Department of Pancreatobiliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China.
¹⁶ Department of General, Visceral, Vascular and Transplant Surgery, University Hospital Magdeburg, Magdeburg 39120, Germany.
¹⁷ Department of Surgery, City of Hope Medical Center, Duarte, CA 91010, United States.
¹⁸ Department of Hepatobiliary Surgery, Peking University People's Hospital, Beijing 100000, China.
¹⁹ Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China.
²⁰ Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
²¹ Division of Hepatobiliary & Pancreatic surgery, Asan Medical Center, University of Ulsan College of Medicine, Ulsan 682, South Korea.
²² General Surgery Department, F. Tappeiner Hospital, Merano 39012, Italy.
²³ Hepatobiliary and Pancreatic Surgery, National University Hospital, Singapore 189969, Singapore.
²⁴ Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, Hubei Province, China.
²⁵ Department of Hepatobiliary Surgery, Senior Department of Hepatology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing 100000, China.
²⁶ Evidence-Based Medicine Center, Lanzhou University, Lanzhou 730000, Gansu Province, China.
²⁷ Zhongshan Hospital, Fudan University, Shanghai 200000, China.
²⁸ Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong 999077, China.

PMID: 37701136
PMCID: PMC10494765
DOI: 10.3748/wjg.v29.i32.4815

Abstract

The robotic liver resection (RLR) has been increasingly applied in recent years and its benefits shown in some aspects owing to the technical advancement of robotic surgical system, however, controversies still exist. Based on the foundation of the previous consensus statement, this new consensus document aimed to update clinical recommendations and provide guidance to improve the outcomes of RLR clinical practice. The guideline steering group and guideline expert group were formed by 29 international experts of liver surgery and evidence-based medicine (EBM). Relevant literature was reviewed and analyzed by the evidence evaluation group. According to the WHO Handbook for Guideline Development, the Guidance Principles of Development and Amendment of the Guidelines for Clinical Diagnosis and Treatment in China 2022, a total of 14 recommendations were generated. Among them were 8 recommendations formulated by the GRADE method, and the remaining 6 recommendations were formulated based on literature review and experts' opinion due to insufficient EBM results. This international experts consensus guideline offered guidance for the safe and effective clinical practice and the research direction of RLR in future.

Keywords: Expert consensus; Guidelines; Laparoscopic liver resection; Robotic liver resection.

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Conflict of interest statement

Conflict-of-interest statement: The authors declare no conflict of interest in the development of consensus guidelines.

Figures

**Figure 1**
The flow chart illustrates the process of guideline development.

See this image and copyright information in PMC

References

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International experts consensus guidelines on robotic liver resection in 2023

Affiliations

International experts consensus guidelines on robotic liver resection in 2023

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources