Laparoscopic surgery for pancreatic neoplasms: the European association for endoscopic surgery clinical consensus conference
| العنوان: | Laparoscopic surgery for pancreatic neoplasms: the European association for endoscopic surgery clinical consensus conference |
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| المؤلفون: | Edwin, Bjørn, Sahakyan, Mushegh A., Abu Hilal, Mohammad, Besselink, Marc G., Braga, Marco, Fabre, Jean-Michel, Fernández-Cruz, Laureano, Gayet, Brice, Kim, Song Cheol, Khatkov, Igor E., Baichorov, Magomet E., De Rooij, Thijs, Genç, Cansu G., Haugvik, Sven-Petter, Izrailov, Roman E., Khisamov, Arthur A., Sánchez-Cabús, Santiago, Souche, Régis, Van Hilst, Jony |
| المساهمون: | AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, CCA - Cancer Treatment and Quality of Life, Surgery, CCA -Cancer Center Amsterdam, APH - Methodology, Graduate School, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Institut Mutualiste de Montsouris (IMM), Institut des Systèmes Intelligents et de Robotique (ISIR), Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS), Assistance aux Gestes et Applications THErapeutiques (AGATHE), Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Edwin, B, Sahakyan, M, Abu Hilal, M, Besselink, M, Braga, M, Fabre, J, Fernández-Cruz, L, Gayet, B, Kim, S, Khatkov, I, Baichorov, M, De Rooij, T, Genç, C, Haugvik, S, Izrailov, R, Khisamov, A, Sánchez-Cabús, S, Souche, R, Van Hilst, J |
| المصدر: | Surgical endoscopy, 31(5), 2023-2041. Springer New York Surgical Endoscopy Surgical Endoscopy, Springer Verlag (Germany), 2017, 31 (5), pp.2023-2041. ⟨10.1007/s00464-017-5414-3⟩ Surgical Endoscopy, 2017, 31 (5), pp.2023-2041. ⟨10.1007/s00464-017-5414-3⟩ |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Laparoscopic surgery, medicine.medical_specialty, Consensus, Delphi Technique, medicine.medical_treatment, education, Delphi method, Consensu, [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery, 030230 surgery, law.invention, Pancreaticoduodenectomy, 03 medical and health sciences, 0302 clinical medicine, Pancreatectomy, Quality of life, Randomized controlled trial, law, medicine, Humans, Societies, Medical, Pancreatoduodenectomy, business.industry, General surgery, 3. Good health, Europe, Pancreatic Neoplasms, Critical appraisal, Systematic review, 030220 oncology & carcinogenesis, Enucleation, Surgery, Laparoscopy, business, Abdominal surgery |
| الوصف: | International audience; Introduced more than 20 years ago, laparoscopic pancreatic surgery (LAPS) has not reached a uniform acceptance among HPB surgeons. As a result, there is no consensus regarding its use in patients with pancreatic neoplasms. This study, organized by the European Association for Endoscopic Surgery (EAES), aimed to develop consensus statements and clinical recommendations on the application of LAPS in these patients.METHODS:An international panel of experts was selected based on their clinical and scientific expertise in laparoscopic and open pancreatic surgery. Each panelist performed a critical appraisal of the literature and prepared evidence-based statements assessed by other panelists during Delphi process. The statements were further discussed during a one-day face-to-face meeting followed by the second round of Delphi. Modified statements were presented at the plenary session of the 24th International Congress of the EAES in Amsterdam and in a web-based survey.RESULTS:LAPS included laparoscopic distal pancreatectomy (LDP), pancreatoduodenectomy (LPD), enucleation, central pancreatectomy, and ultrasound. In general, LAPS was found to be safe, especially in experienced hands, and also advantageous over an open approach in terms of intraoperative blood loss, postoperative recovery, and quality of life. Eighty-five percent or higher proportion of responders agreed with the majority (69.5%) of statements. However, the evidence is predominantly based on retrospective case-control studies and systematic reviews of these studies, clearly affected by selection bias. Furthermore, no randomized controlled trials (RCTs) have been published to date, although four RCTs are currently underway in Europe.CONCLUSIONS:LAPS is currently in its development and exploration stages, as defined by the international IDEAL framework for surgical innovation. LDP is feasible and safe, performed in many centers, while LPD is limited to few centers. RCTs and registry studies are essential to proceed with the assessment of LAPS. |
| اللغة: | English |
| تدمد: | 0930-2794 1432-2218 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7ceabcba9071ce70133e3493ceae3d43Test https://pure.amc.nl/en/publications/laparoscopic-surgery-for-pancreatic-neoplasms-the-european-association-for-endoscopic-surgery-clinical-consensus-conferenceTest(97531491-6bb7-4fc9-881d-19125936ccc8).html |
| حقوق: | RESTRICTED |
| رقم الانضمام: | edsair.doi.dedup.....7ceabcba9071ce70133e3493ceae3d43 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 09302794 14322218 |
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