The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection.
Journal article

The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection.

  • Asbun HJ Division of Hepatobiliary and Pancreas Surgery, Miami Cancer Institute, Miami, FL.
  • Moekotte AL Department of Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  • Vissers FL Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
  • Kunzler F Division of Hepatobiliary and Pancreas Surgery, Miami Cancer Institute, Miami, FL.
  • Cipriani F Department of Surgery, San Raffaele Hospital, Milan, Italy.
  • Alseidi A Division of Hepatopancreatobiliary and Endocrine Surgery, Virginia Mason Medical Center, Seattle, VA.
  • D'Angelica MI Department of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY.
  • Balduzzi A Division of Pancreatic Surgery, University Hospital of Verona, Verona, Italy.
  • Bassi C Division of Pancreatic Surgery, University Hospital of Verona, Verona, Italy.
  • Björnsson B Department of Surgery and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
  • Boggi U Division of General and Transplant Surgery, University of Pisa, Pisa, Italy.
  • Callery MP Department of General and Gastrointestinal Surgery, Beth Israel Deaconess Medical Center, Boston, MA.
  • Del Chiaro M Department of Surgery, Division of Surgical Oncology, University of Colorado, Denver, CO.
  • Coimbra FJ Department of Abdominal Surgery, AC Camargo Cancer Center, São Paulo, Brazil.
  • Conrad C Department of Surgery, St. Elizabeth's Medical Center, Boston, MA.
  • Cook A Wessex Institute, University of Southampton, UK.
  • Coppola A General Surgery and Liver Transplant, Unit Department of General Surgery, Fondazione Policlinico, Universitario Agostino Gemelli, IRCCS, Rome, Italy.
  • Dervenis C Department of Surgery, Medical School, University of Cyprus, Cyprus.
  • Dokmak S Department of Surgery, Beaujon Hospital, Paris, France.
  • Edil BH Department of Surgery, University of Oklahoma, Oklahoma City, OK.
  • Edwin B The Intervention Centre and Department of HPB Surgery, Oslo University Hospital and Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
  • Giulianotti PC Division of Minimally Invasive, General Surgery & Robotic Surgery, University of Illinois, Chicago, IL.
  • Han HS Department of Surgery, Seoul National University Hospital, Seoul, South Korea.
  • Hansen PD Department of Surgery, Portland Providence Medical Center, Portland, OR.
  • van der Heijde N Department of Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  • van Hilst J Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
  • Hester CA Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
  • Hogg ME Department of Surgery, NorthShore University Health System, Evanston, IL.
  • Jarufe N Department of Digestive Surgery, Pontifical Catholic University of Chile, Santiago, Chile.
  • Jeyarajah DR Department of HPB surgery, Methodist Richardson Medical Center, Richardson, TX.
  • Keck T Clinic for Surgery, University of Schleswig-Holstein Campus Lübeck, Lübeck, Germany.
  • Kim SC Department of Surgery, Ulsan University College of Medicine and Asan Medical Center, Seoul, South Korea.
  • Khatkov IE Department of Surgery, Moscow Clinical Scientific Center, Moscow, Russia.
  • Kokudo N Department of Surgery, National Center for Global Health and Medicine, Tokyo, Japan.
  • Kooby DA Department of Surgery, Winship Cancer Institute, Emory University, Atlanta, GA.
  • Korrel M Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
  • de Leon FJ HPB and transplant Unit, Regional Hospital, Málaga, Spain.
  • Lluis N Department of Surgery, Bellvitge University Hospital, Barcelona, Spain.
  • Lof S Department of Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  • Machado MA Department of Surgery, University of São Paulo, São Paulo, Brazil.
  • Demartines N Department of Visceral Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland.
  • Martinie JB Division of HPB Surgery, Department of Surgery, Carolina's Health Care Hospital, Charlotte, NC.
  • Merchant NB Division of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, FL.
  • Molenaar IQ Department of Surgery, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, the Netherlands.
  • Moravek C Pancreatic Cancer Action Network, Manhattan Beach, CA.
  • Mou YP Department of Gastroenterology and Pancreatic surgery, Zhengjiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Zhejiang, China.
  • Nakamura M Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Nealon WH Department of Surgery, Northwell Health, Manhasset, NY.
  • Palanivelu C Department of Surgical Gastroenterology and HPB Surgery, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
  • Pessaux P Division of Hepato-Biliary and Pancreatic Surgery, Nouvel Hôpital Civil, Institut Hospitalo-Universitaire de Strasbourg, Strasbourg, France.
  • Pitt HA Department of Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA.
  • Polanco PM Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
  • Primrose JN Department of Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  • Rawashdeh A Department of Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  • Sanford DE Division of Hepatobiliary, Pancreatic, and Gastrointestinal Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO.
  • Senthilnathan P Department of Surgical Gastroenterology and HPB Surgery, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
  • Shrikhande SV Department of Surgery, Tata Memorial Center, Mumbai, India.
  • Stauffer JA Department of General Surgery, Mayo Clinic Florida, Jacksonville, FL.
  • Takaori K Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Talamonti MS Department of Surgery, NorthShore University Health System, Evanston, IL.
  • Tang CN Department of Surgery, Pamela Youde Nethersle Eastern Hospital, Chai Wan, Hong Kong, China.
  • Vollmer CM Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
  • Wakabayashi G Center for Advanced Treatment of HPB Diseases, Ageo Central General Hospital, Saitama, Japan.
  • Walsh RM Department of General Surgery, Cleveland Clinic, Cleveland, OH.
  • Wang SE Department of Surgery, Taipei Veterans General Hospital and National Yang Ming University, Taipei, Taiwan.
  • Zinner MJ Division of Hepatobiliary and Pancreas Surgery, Miami Cancer Institute, Miami, FL.
  • Wolfgang CL Division of Surgical Oncology, Department of Surgery, The John Hopkins University School of Medicine, Baltimore, MD.
  • Zureikat AH Division of Surgical Oncology, Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA.
  • Zwart MJ Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
  • Conlon KC Department of Surgery, Trinity College Dublin, Tallaght University Hospital, Dublin, Ireland.
  • Kendrick ML Department of Surgery, Mayo Clinic, Rochester, Minnesota, MN.
  • Zeh HJ Division of Surgical Oncology, Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA.
  • Hilal MA Department of Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  • Besselink MG Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
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  • 2019-10-01
Published in:
  • Annals of surgery. - 2020
English OBJECTIVE
The aim of this study was to develop and externally validate the first evidence-based guidelines on minimally invasive pancreas resection (MIPR) before and during the International Evidence-based Guidelines on Minimally Invasive Pancreas Resection (IG-MIPR) meeting in Miami (March 2019).


SUMMARY BACKGROUND DATA
MIPR has seen rapid development in the past decade. Promising outcomes have been reported by early adopters from high-volume centers. Subsequently, multicenter series as well as randomized controlled trials were reported; however, guidelines for clinical practice were lacking.


METHODS
The Scottisch Intercollegiate Guidelines Network (SIGN) methodology was used, incorporating these 4 items: systematic reviews using PubMed, Embase, and Cochrane databases to answer clinical questions, whenever possible in PICO style, the GRADE approach for assessment of the quality of evidence, the Delphi method for establishing consensus on the developed recommendations, and the AGREE-II instrument for the assessment of guideline quality and external validation. The current guidelines are cosponsored by the International Hepato-Pancreato-Biliary Association, the Americas Hepato-Pancreato-Biliary Association, the Asian-Pacific Hepato-Pancreato-Biliary Association, the European-African Hepato-Pancreato-Biliary Association, the European Association for Endoscopic Surgery, Pancreas Club, the Society of American Gastrointestinal and Endoscopic Surgery, the Society for Surgery of the Alimentary Tract, and the Society of Surgical Oncology.


RESULTS
After screening 16,069 titles, 694 studies were reviewed, and 291 were included. The final 28 recommendations covered 6 topics; laparoscopic and robotic distal pancreatectomy, central pancreatectomy, pancreatoduodenectomy, as well as patient selection, training, learning curve, and minimal annual center volume required to obtain optimal outcomes and patient safety.


CONCLUSION
The IG-MIPR using SIGN methodology give guidance to surgeons, hospital administrators, patients, and medical societies on the use and outcome of MIPR as well as the approach to be taken regarding this challenging type of surgery.
Language
  • English
Open access status
bronze
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/186227
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