Background: Surgical views with high resolution and magnification have enabled us to recognize the precise anatomical structures that can be used as landmarks during minimally invasive distal pancreatectomy (MIDP). This study aimed to validate the usefulness of anatomy-based approaches for MIDP before and during the Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (February 24, 2021). Methods: Twenty-five international MIDP experts developed clinical questions regarding surgical anatomy and approaches for MIDP. Studies identified via a comprehensive literature search were classified using Scottish Intercollegiate Guidelines Network methodology. Online Delphi voting was conducted after experts had drafted the recommendations, with the goal of obtaining >75% consensus. Experts discussed the revised recommendations in front of the validation committee and an international audience of 384 attendees. Finalized recommendations were made after a second round of online Delphi voting. Results: Four clinical questions were addressed, resulting in 10 recommendations. All recommendations reached at least a 75% consensus among experts. Conclusions: The expert consensus on precision anatomy for MIDP has been presented as a set of recommendations based on available evidence and expert opinions. These recommendations should guide experts and trainees in performing safe MIDP and foster its appropriate dissemination worldwide.
|Number of pages||13|
|Journal||Journal of Hepato-Biliary-Pancreatic Sciences|
|Publication status||Published - 2022 Jan|
Bibliographical noteFunding Information:
The Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (PAM‐HBP Surgery Project) was held as a special program of the 32nd meeting of the Japanese Society of Hepato‐Biliary‐Pancreatic Surgery (JSHBPS) in Tokyo on February 23rd and 24th of 2021. The meeting was sponsored by the JSHBPS and endorsed by the International Hepato‐Pancreatic‐Biliary Association (IHPBA). The liver session was held on February 23rd, while the pancreas session was held on February 24th. The main topics during these sessions included surgical anatomy and approaches for MIPD and MIDP. 16
© 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery
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