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The Miami International Evidence-Based Guidelines on Minimally Invasive Pancreas Resection

The Miami International Evidence-Based Guidelines on Minimally Invasive Pancreas Resection
The Miami International Evidence-Based Guidelines on Minimally Invasive Pancreas Resection
Objective: The aim of tis 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, and the Society for Surgery of the Alimentary.

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: These 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.
Whipple, guidelines, laparoscopic, pancreatectomy, robot
0003-4932
1-14
Asbun, Horacio
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Moekotte, Alma Louise
c872a6c9-c212-4ddf-9870-6fb191c8ec06
Vissers, Frederique
5bea561f-de5f-415c-96c7-34e33d590544
Cook, Andrew
ab9c7bb3-974a-4db9-b3c2-9942988005d5
Abu Hilal, Mohammad
384e1c60-8519-4eed-8e92-91775aad4c47
Primrose, John
d85f3b28-24c6-475f-955b-ec457a3f9185
Kunzler, Filipe
04a2efd8-67ef-4f1c-835c-de7bdb16178d
Cipriani, Federica
aca25573-d300-425d-ba9c-20be3190ce2e
Alseidi, Adnan
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D'Angelica, Michael
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Balduzzi, Alberto
3cea18bf-c609-4a3c-aafb-5b01669ef9a8
Besselink, Marc G
5161301c-7dd8-4806-ad35-b721762506ae
et al.
Asbun, Horacio
1929cefa-c14a-4fa4-b995-172178e34333
Moekotte, Alma Louise
c872a6c9-c212-4ddf-9870-6fb191c8ec06
Vissers, Frederique
5bea561f-de5f-415c-96c7-34e33d590544
Cook, Andrew
ab9c7bb3-974a-4db9-b3c2-9942988005d5
Abu Hilal, Mohammad
384e1c60-8519-4eed-8e92-91775aad4c47
Primrose, John
d85f3b28-24c6-475f-955b-ec457a3f9185
Kunzler, Filipe
04a2efd8-67ef-4f1c-835c-de7bdb16178d
Cipriani, Federica
aca25573-d300-425d-ba9c-20be3190ce2e
Alseidi, Adnan
56ccae5a-69f6-424b-8921-0f73bfff0d60
D'Angelica, Michael
558aac25-c8a8-4ece-b75f-7ef9ce0cb963
Balduzzi, Alberto
3cea18bf-c609-4a3c-aafb-5b01669ef9a8
Besselink, Marc G
5161301c-7dd8-4806-ad35-b721762506ae

Asbun, Horacio, Moekotte, Alma Louise and Vissers, Frederique , et al. (2020) The Miami International Evidence-Based Guidelines on Minimally Invasive Pancreas Resection. Annals of Surgery, 271 (1), 1-14. (doi:10.1097/SLA.0000000000003590).

Record type: Article

Abstract

Objective: The aim of tis 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, and the Society for Surgery of the Alimentary.

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: These 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.

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IG-MIPR guidelines-Manuscript - Accepted Manuscript
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More information

Accepted/In Press date: 14 August 2019
e-pub ahead of print date: 16 September 2019
Published date: January 2020
Keywords: Whipple, guidelines, laparoscopic, pancreatectomy, robot

Identifiers

Local EPrints ID: 434584
URI: http://eprints.soton.ac.uk/id/eprint/434584
ISSN: 0003-4932
PURE UUID: f345fe79-e865-466d-82bd-e4fe60f3422b
ORCID for Andrew Cook: ORCID iD orcid.org/0000-0002-6680-439X
ORCID for John Primrose: ORCID iD orcid.org/0000-0002-2069-7605

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Date deposited: 02 Oct 2019 16:30
Last modified: 28 Apr 2022 05:11

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Contributors

Author: Horacio Asbun
Author: Alma Louise Moekotte
Author: Frederique Vissers
Author: Andrew Cook ORCID iD
Author: Mohammad Abu Hilal
Author: John Primrose ORCID iD
Author: Filipe Kunzler
Author: Federica Cipriani
Author: Adnan Alseidi
Author: Michael D'Angelica
Author: Alberto Balduzzi
Author: Marc G Besselink
Corporate Author: et al.

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