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| Página principal > Artículos > Artículos publicados > The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS) |
(Beaujon Hospital) (Department of Surgery. University of California - San Francisco) (Linköping University) (Moscow Clinical Scientific Center) (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol) (Azienda Ospedaliera Universitaria Integrata Verona (Itàlia)) (Erasmus MC Cancer Institute) (Hospital del Mar (Barcelona, Catalunya)) (Seoul National University College of Medicine) (King's College Hospital NHS Foundation Trust) (Humanitas University) (Verona University Hospital) (Universitair Ziekenhuis Gent) (Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran) (Istituto Ospedaliero Fondazione Poliambulanza (Brescia, Itàlia)) (University Hospital Southampton NHS Foundation Trust (Regne Unit)) (Hospital of Beaujon) (Hospital Universitario Miguel Servet (Saragossa)) (Istituto Ospedaliero Fondazione Poliambulanza (Brescia, Itàlia)) (Amsterdam UMC. Location University of Amsterdam) (Istituto Ospedaliero Fondazione Poliambulanza (Brescia, Itàlia)) (Universitair Ziekenhuis Gent) (Istituto Ospedaliero Fondazione Poliambulanza (Brescia, Itàlia)) (Fondazione Policlinico Universitario A. Gemelli IRCCS) (S. Camillo Forlanini Hospital) (University and Hospital Trust of Verona) (University Hospital of Verona. Department of Surgery) (Manchester University NHS FT) (Cancer Center Amsterdam)| Fecha: | 2024 |
| Resumen: | 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. |
| Derechos: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.  |
| Lengua: | Anglès |
| Documento: | Article de revisió ; recerca ; Versió publicada |
| Materia: | Evidence-based guidelines ; Minimally invasive pancreàtic surgery ; Laparoscopic pancreatic surgery ; Robotic pancreatic surgery |
| Publicado en: | Annals of Surgery, Vol. 279 Núm. 1 (January 2024) , p. 45-57, ISSN 1528-1140 |
