The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS)

Mohammad Abu Hilal, Tess M.E. Van Ramshorst, Ugo Boggi, Safi Dokmak, Bjørn Edwin, Tobias Keck, Igor Khatkov, Jawad Ahmad, Hani Al Saati, Adnan Alseidi, Juan S. Azagra, Bergthor Björnsson, Fatih M. Can, Mathieu D'Hondt, Mikhail Efanov, Francisco Espin Alvarez, Alessandro Esposito, Giovanni Ferrari, Bas Groot Koerkamp, Andrew A. GumbsMelissa E. Hogg, Cristiano G.S. Huscher, Benedetto Ielpo, Arpad Ivanecz, Jin Young Jang, Rong Liu, Misha D.P. Luyer, Krishna Menon, Masafumi Nakamura, Tullio Piardi, Olivier Saint-Marc, Steve White, Yoo Seok Yoon, Alessandro Zerbi, Claudio Bassi, Frederik Berrevoet, Carlos Chan, Felipe J. Coimbra, Kevin C.P. Conlon, Andrew Cook, Christos Dervenis, Massimo Falconi, Clarissa Ferrari, Isabella Frigerio, Giuseppe K. Fusai, Michelle L. De Oliveira, Antonio D. Pinna, John N. Primrose, Alain Sauvanet, Alejandro Serrablo, Sameer Smadi, Ali Badran, Magomet Baychorov, Elisa Bannone, Eduard A. Van Bodegraven, Anouk M.L.H. Emmen, Alessandro Giani, Nine De Graaf, Jony Van Hilst, Leia R. Jones, Giovanni B. Levi Sandri, Alessandra Pulvirenti, Marco Ramera, Niki Rashidian, Mushegh A. Sahakyan, Bas A. Uijterwijk, Pietro Zampedri, Maurice J.W. Zwart, Sergio Alfieri, Stefano Berti, Giovanni Butturini, Fabrizio Di Benedetto, Giuseppe M. Ettorre, Felice Giuliante, Elio Jovine, Riccardo Memeo, Nazario Portolani, Andrea Ruzzenente, Roberto Salvia, Ajith K. Siriwardena, Marc G. Besselink, Horacio J. Asbun

4 Citations (Scopus)

Abstract

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.

Original languageEnglish
JournalAnnals of Surgery
Volume279
Issue number1
Pages (from-to)45-57
Number of pages13
ISSN0003-4932
DOIs
Publication statusPublished - 01.01.2024

Research Areas and Centers

  • Research Area: Luebeck Integrated Oncology Network (LION)
  • Centers: University Cancer Center Schleswig-Holstein (UCCSH)

DFG Research Classification Scheme

  • 205-25 General and Visceral Surgery
  • 205-14 Haematology, Oncology

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