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

(2024) ANNALS OF SURGERY. 279(1). p.45-57
Author
Organization
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.
Keywords
Surgery, robotic pancreatic surgery, laparoscopic pancreatic surgery, minimally invasive pancreatic surgery, evidence-based guidelines

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MLA
Abu Hilal, Mohammad, et al. “The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS).” ANNALS OF SURGERY, vol. 279, no. 1, 2024, pp. 45–57, doi:10.1097/sla.0000000000006006.
APA
Abu Hilal, M., van Ramshorst, T. M. E., Boggi, U., Dokmak, S., Edwin, B., Keck, T., … Collaborators, [missing]. (2024). The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS). ANNALS OF SURGERY, 279(1), 45–57. https://doi.org/10.1097/sla.0000000000006006
Chicago author-date
Abu Hilal, Mohammad, Tess M.E. van Ramshorst, Ugo Boggi, Safi Dokmak, Bjørn Edwin, Tobias Keck, Igor Khatkov, et al. 2024. “The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS).” ANNALS OF SURGERY 279 (1): 45–57. https://doi.org/10.1097/sla.0000000000006006.
Chicago author-date (all authors)
Abu Hilal, Mohammad, 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. Gumbs, Melissa 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, and [missing] Collaborators. 2024. “The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS).” ANNALS OF SURGERY 279 (1): 45–57. doi:10.1097/sla.0000000000006006.
Vancouver
1.
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). ANNALS OF SURGERY. 2024;279(1):45–57.
IEEE
[1]
M. Abu Hilal et al., “The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS),” ANNALS OF SURGERY, vol. 279, no. 1, pp. 45–57, 2024.
@article{01HHEQAFJBHSKK0ZA2EDBJMQQZ,
  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.}},
  author       = {{Abu Hilal, Mohammad and van Ramshorst, Tess M.E. and Boggi, Ugo and Dokmak, Safi and Edwin, Bjørn and Keck, Tobias and Khatkov, Igor and Ahmad, Jawad and Al Saati, Hani and Alseidi, Adnan and Azagra, Juan S. and Björnsson, Bergthor and Can, Fatih M. and D’Hondt, Mathieu and Efanov, Mikhail and Alvarez, Francisco Espin and Esposito, Alessandro and Ferrari, Giovanni and Koerkamp, Bas Groot and Gumbs, Andrew A. and Hogg, Melissa E. and Huscher, Cristiano G.S. and Ielpo, Benedetto and Ivanecz, Arpad and Jang, Jin-Young and Liu, Rong and Luyer, Misha D.P. and Menon, Krishna and Nakamura, Masafumi and Piardi, Tullio and Saint-Marc, Olivier and White, Steve and Yoon, Yoo-Seok and Zerbi, Alessandro and Bassi, Claudio and Berrevoet, Frederik and Chan, Carlos and Coimbra, Felipe J. and Conlon, Kevin C.P. and Cook, Andrew and Dervenis, Christos and Falconi, Massimo and Ferrari, Clarissa and Frigerio, Isabella and Fusai, Giuseppe K. and De Oliveira, Michelle L. and Pinna, Antonio D. and Primrose, John N. and Sauvanet, Alain and Serrablo, Alejandro and Smadi, Sameer and Badran, Ali and Baychorov, Magomet and Bannone, Elisa and van Bodegraven, Eduard A. and Emmen, Anouk M.L.H. and Giani, Alessandro and de Graaf, Nine and van Hilst, Jony and Jones, Leia R. and Sandri, Giovanni B. Levi and Pulvirenti, Alessandra and Ramera, Marco and Rashidian, Niki and Sahakyan, Mushegh A. and Uijterwijk, Bas A. and Zampedri, Pietro and Zwart, Maurice J.W. and Alfieri, Sergio and Berti, Stefano and Butturini, Giovanni and Di Benedetto, Fabrizio and Ettorre, Giuseppe M. and Giuliante, Felice and Jovine, Elio and Memeo, Riccardo and Portolani, Nazario and Ruzzenente, Andrea and Salvia, Roberto and Siriwardena, Ajith K. and Besselink, Marc G. and Asbun, Horacio J. and Collaborators, [missing]}},
  issn         = {{0003-4932}},
  journal      = {{ANNALS OF SURGERY}},
  keywords     = {{Surgery,robotic pancreatic surgery,laparoscopic pancreatic surgery,minimally invasive pancreatic surgery,evidence-based guidelines}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{45--57}},
  title        = {{The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS)}},
  url          = {{http://doi.org/10.1097/sla.0000000000006006}},
  volume       = {{279}},
  year         = {{2024}},
}

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