The Brescia internationally validated European guidelines on minimally invasive liver surgery

作者：Mohammad Abu Hilal, Tijs J. Hoogteijling, Bjørn Edwin, Ibrahim Dagher, Mathieu D’Hondt, Hugo P. Marques, Rutger‐Jan Swijnenburg, Ugo Boggi, Iswanto Sucandy, Alessandro Ferrero, Hendrik A. Marsman, Roberto Troisi, Andrew A. Gumbs, Luca Aldrighetti, Daniel Cherqui, Adnan Alseidi, Roland S. Croner, Fernando Rotellar, Olivier Scatton, Hani Al Saati, Giammauro Berardi, Umberto Cillo, Federica Cipriani, Rubén Ciria, Esteban Cugat Andorrà, Fabrizio Di Benedetto, Rafael Díaz-Nieto, Trish Duncan, Михаил Ефанов, Giuseppe Ettore, Constantino Fondevila, Åsmund Avdem Fretland, Felice Giuliante, Jeroen Hagendoorn, Ho‐Seong Han, Goro Honda, Mickaël Lesurtel, J. Peter A. Lodge, Santiago López‐Ben, Riccardo Memeo, Krishna Menon, Nikdokht Rashidian, Francesca Ratti, R Robles, Nadia Russolillo, Andrea Ruzzenente, Julio Santoyo Santoyo, Moritz Schmelzle, Olivia Sgarbură, Robert P. Sutcliffe, Catherine Teh, Marco Vivarelli, Go Wakabayashi, Steven A. White, Neil Pearce, Roberta Angelico, Elisa Bannone, Andrea Benedetti Cacciaguerra, Emre Bozkurt, Maria Conticchio, Soufyan el Adel, Simone Famularo, Martina Guerra, Christoph Kuemmerli, Víctor López‐López, Fernando Pardo Aranda, Gabriela Pilz da Cunha, Florian Primavesi, Sara Saeidi, Andrea Sheel, Jasper P. Sijberden, Francesco Sucameli, Francesco Taliente, Teodros Veronesi, Jawad Ahmad, Sergio Alfieri, Fabio Ausania, Gian Luca Baiocchi, Stefano Berti, Marc G. Besselink, Salam Daradkeh, Luciano De Carlis, Antonella Delvecchio, Christos Dervenis, Safi Dokmak, Clarissa Ferrari, Giuseppe Fusai, David A. Geller, Brian K. P. Goh, Alfredo Guglielmi, David A. Iannitti, Derar Jaradat, Elio Jovine, Kuo‐Hsin Chen, Rong Liu, Ravi Marudanayagam, Federico Mocchegiani, Fabrizio Panaro, Antonio Daniele Pinna, Nazario Portolani, Omar Saleh, Claudio Sallemi, Alejandro Serrablo, Sameer Smadi, Amal Suhool, Mark Taylor, Thomas M. van Gulik, Ajith K Siriwardena, Horacio J. Asbun · 发表于：British journal of surgery · 年份：2025 · DOI：10.1093/bjs/znaf113 · 被引用次数：18 · 研究领域：Clinical practice guidelines implementation、Colorectal Cancer Screening and Detection、Pancreatic and Hepatic Oncology Research

The use of minimally invasive liver surgery (MILS) has increased in the last decades. Several studies have shown the benefits of laparoscopic liver resection (LLR) on short-term outcomes compared to conventional open surgery1–3 . In addition, since its introduction, robotic liver resection (RLR) is disseminating across specialized centres rapidly, producing excellent results and potentially promising further benefits in MILS4. The introduction of MILS has been accompanied by several consensus-based meetings and evidence-based guidelines, to propose for careful implementation of MILS and ensuring patient safety. The first meetings were held in 2008 in Louisville and in 2015 in Morioka, followed by an increase in the application and the development of specialized equipment and techniques in MILS5,6. In 2017, the first European guidelines on LLR were developed in Southampton7. A total of 23 experts and seven researchers produced evidence-based guidelines on several domains related to LLR, adhering to the combination of several tried and tested methodologies of guideline formation. These guidelines set the standard for the safe development and dissemination of LLR, stressing the need for stepwise implementation. Evolving experience and technical advancements such as RLR and artificial intelligence (AI) have caused a potential widening of the indications of MILS and a further increase in the application of minimally invasive techniques8–12. Since the Southampton guidelines, many s...