The Brescia Internationally validated european guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS)

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• dc.contributor.author Abu Hilal, Mohammed
• dc.contributor.author Ielpo, Benedetto
• dc.contributor.author Asbun, Horacio J.
• dc.date.accessioned 2024-04-25T06:01:28Z
• dc.date.available 2024-04-25T06:01:28Z
• dc.date.issued 2024
• dc.description.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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Abu Hilal M, van Ramshorst TME, Boggi U, Dokmak S, Edwin B, Keck T, et al. The Brescia Internationally validated european guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS). Ann Surg. 2024 Jan 1;279(1):45-57. DOI: 10.1097/SLA.0000000000006006
• dc.identifier.doi http://dx.doi.org/10.1097/SLA.0000000000006006
• dc.identifier.issn 0003-4932
• dc.identifier.uri http://hdl.handle.net/10230/59901
• dc.language.iso eng
• dc.publisher Wolters Kluwer (LWW)
• dc.relation.ispartof Ann Surg. 2024 Jan 1;279(1):45-57
• dc.rights © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Evidence-based guidelines
• dc.subject.keyword Minimally invasive pancreatic surgery
• dc.subject.keyword Laparoscopic pancreatic surgery
• dc.subject.keyword Robotic pancreatic surgery
• dc.title The Brescia Internationally validated european guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS)
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion