International consensus statement on robotic hepatectomy surgery in 2018

R Liu , G Wakabayashi , H Kim , G Choi , A Yiengpruksawan , Y Fong , J He , U Boggi , R Troisi , M Efanov , D Azoulay , Fabrizio Panaro (1, 2) , Patrick Pessaux (3) , X Wang , J Zhu , S Zhang , C Sun , Z Wu , K Tao , K Yang , J Fan , X Chen

1 Cellules Souches, Plasticité Cellulaire, Médecine Régénératrice et Immunothérapies (IRMB)
2 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
3 IVH - Institut de Recherche sur les Maladies Virales et Hépatiques

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.

Mots clés: Minimally invasive surgery; Laparoscopic hepatectomy; Hepatectomy resection; the development of consensus.; Robotic hepatectomy; *Consensus; Delphi Technique; Gastroenterology/methods/standards; Hepatectomy/adverse effects/methods/*standards; Humans; Laparoscopy/adverse effects/methods/*standards; Liver Diseases/*surgery; Randomized Controlled Trials as Topic; Robotic Surgical Procedures/adverse effects/methods/*standards; Treatment Outcome; Consensus statement

Domaines: Médecine humaine et pathologie

R Liu, G Wakabayashi, H Kim, G Choi, A Yiengpruksawan, et al.. International consensus statement on robotic hepatectomy surgery in 2018. World Journal of Gastroenterology, 2019, 25 (12), pp.1432-1444. ⟨10.3748/wjg.v25.i12.1432⟩. ⟨hal-02390239⟩