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Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka

(2015) ANNALS OF SURGERY. 261(4). p.619-629
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Abstract
The use of laparoscopy for liver surgery is increasing rapidly. The Second International Consensus Conference on Laparoscopic Liver Resections (LLR) was held in Morioka, Japan, from October 4 to 6, 2014 to evaluate the current status of laparoscopic liver surgery and to provide recommendations to aid its future development. Seventeen questions were addressed. The first 7 questions focused on outcomes that reflect the benefits and risks of LLR. These questions were addressed using the Zurich-Danish consensus conference model in which the literature and expert opinion were weighed by a 9-member jury, who evaluated LLR outcomes using GRADE and a list of comparators. The jury also graded LLRs by the Balliol Classification of IDEAL. The jury concluded that MINOR LLRs had become standard practice (IDEAL 3) and that MAJOR liver resections were still innovative procedures in the exploration phase (IDEAL 2b). Continued cautious introduction of MAJOR LLRs was recommended. All of the evidence available for scrutiny was of LOW quality by GRADE, which prompted the recommendation for higher quality evaluative studies. The last 10 questions focused on technical questions and the recommendations were based on literature review and expert panel opinion. Recommendations were made regarding preoperative evaluation, bleeding controls, transection methods, anatomic approaches, and equipment. Both experts and jury recognized the need for a formal structure of education for those interested in performing major laparoscopic LLR because of the steep learning curve.
Keywords
colorectal liver metastasis, anatomical resection, donor hepatectomy, hepatocellular carcinoma, liver resection, laparoscopic, pneumoperitoneum, robotic, INTERNATIONAL CONSENSUS CONFERENCE, LIVING DONOR HEPATECTOMY, HEPATOCELLULAR-CARCINOMA, HANGING MANEUVER, POSTOPERATIVE COMPLICATIONS, SURGICAL TECHNOLOGY, INITIAL-EXPERIENCE, COLORECTAL-CANCER, CIRRHOTIC LIVER, SURGERY

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MLA
Wakabayashi, Go et al. “Recommendations for Laparoscopic Liver Resection: a Report from the Second International Consensus Conference Held in Morioka.” ANNALS OF SURGERY 261.4 (2015): 619–629. Print.
APA
Wakabayashi, G., Cherqui, D., Geller, D. A., Buell, J. E., Kaneko, H., Han, H. S., Asbun, H., et al. (2015). Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka. ANNALS OF SURGERY, 261(4), 619–629.
Chicago author-date
Wakabayashi, Go, Daniel Cherqui, David A Geller, Joseph E Buell, Hironori Kaneko, Ho Seong Han, Horacio Asbun, et al. 2015. “Recommendations for Laparoscopic Liver Resection: a Report from the Second International Consensus Conference Held in Morioka.” Annals of Surgery 261 (4): 619–629.
Chicago author-date (all authors)
Wakabayashi, Go, Daniel Cherqui, David A Geller, Joseph E Buell, Hironori Kaneko, Ho Seong Han, Horacio Asbun, Nicholas O’Rourke, Minoru Tanabe, Alan J Koffron, Allan Tsung, Olivier Soubrane, Marcel Autran Machado, Brice Gayet, Roberto Troisi, Patrick Pessaux, Ronald M Van Dam, Olivier Scatton, Mohammad Abu Hilal, Giulio Belli, Choon Hyuck David Kwon, Bjorn Edwin, Gi Hong Choi, Luca Antonio Aldrighetti, Xiujun Cai, Sean Clemy, Kuo-Hsin Chen, Michael R Schoen, Atsushi Sugioka, Chung-Ngai Tang, Paulo Herman, Juan Pekolj, Xiao-Ping Chen, Ibrahim Dagher, William Jarnagin, Masakazu Yamamoto, Russell Strong, Palepu Jagannath, Chung-Mau Lo, Pierre-Alain Clavien, Norihiro Kokudo, Jeffrey Barkun, and Steven M Strasberg. 2015. “Recommendations for Laparoscopic Liver Resection: a Report from the Second International Consensus Conference Held in Morioka.” Annals of Surgery 261 (4): 619–629.
Vancouver
1.
Wakabayashi G, Cherqui D, Geller DA, Buell JE, Kaneko H, Han HS, et al. Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka. ANNALS OF SURGERY. 2015;261(4):619–29.
IEEE
[1]
G. Wakabayashi et al., “Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka,” ANNALS OF SURGERY, vol. 261, no. 4, pp. 619–629, 2015.
@article{5959592,
  abstract     = {{The use of laparoscopy for liver surgery is increasing rapidly. The Second International Consensus Conference on Laparoscopic Liver Resections (LLR) was held in Morioka, Japan, from October 4 to 6, 2014 to evaluate the current status of laparoscopic liver surgery and to provide recommendations to aid its future development. Seventeen questions were addressed. The first 7 questions focused on outcomes that reflect the benefits and risks of LLR. These questions were addressed using the Zurich-Danish consensus conference model in which the literature and expert opinion were weighed by a 9-member jury, who evaluated LLR outcomes using GRADE and a list of comparators. The jury also graded LLRs by the Balliol Classification of IDEAL. The jury concluded that MINOR LLRs had become standard practice (IDEAL 3) and that MAJOR liver resections were still innovative procedures in the exploration phase (IDEAL 2b). Continued cautious introduction of MAJOR LLRs was recommended. All of the evidence available for scrutiny was of LOW quality by GRADE, which prompted the recommendation for higher quality evaluative studies. The last 10 questions focused on technical questions and the recommendations were based on literature review and expert panel opinion. Recommendations were made regarding preoperative evaluation, bleeding controls, transection methods, anatomic approaches, and equipment. Both experts and jury recognized the need for a formal structure of education for those interested in performing major laparoscopic LLR because of the steep learning curve.}},
  author       = {{Wakabayashi, Go and Cherqui, Daniel and Geller, David A and Buell, Joseph E and Kaneko, Hironori and Han, Ho Seong and Asbun, Horacio and O'Rourke, Nicholas and Tanabe, Minoru and Koffron, Alan J and Tsung, Allan and Soubrane, Olivier and Machado, Marcel Autran and Gayet, Brice and Troisi, Roberto and Pessaux, Patrick and Van Dam, Ronald M and Scatton, Olivier and Abu Hilal, Mohammad and Belli, Giulio and Kwon, Choon Hyuck David and Edwin, Bjorn and Choi, Gi Hong and Aldrighetti, Luca Antonio and Cai, Xiujun and Clemy, Sean and Chen, Kuo-Hsin and Schoen, Michael R and Sugioka, Atsushi and Tang, Chung-Ngai and Herman, Paulo and Pekolj, Juan and Chen, Xiao-Ping and Dagher, Ibrahim and Jarnagin, William and Yamamoto, Masakazu and Strong, Russell and Jagannath, Palepu and Lo, Chung-Mau and Clavien, Pierre-Alain and Kokudo, Norihiro and Barkun, Jeffrey and Strasberg, Steven M}},
  issn         = {{0003-4932}},
  journal      = {{ANNALS OF SURGERY}},
  keywords     = {{colorectal liver metastasis,anatomical resection,donor hepatectomy,hepatocellular carcinoma,liver resection,laparoscopic,pneumoperitoneum,robotic,INTERNATIONAL CONSENSUS CONFERENCE,LIVING DONOR HEPATECTOMY,HEPATOCELLULAR-CARCINOMA,HANGING MANEUVER,POSTOPERATIVE COMPLICATIONS,SURGICAL TECHNOLOGY,INITIAL-EXPERIENCE,COLORECTAL-CANCER,CIRRHOTIC LIVER,SURGERY}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{619--629}},
  title        = {{Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka}},
  url          = {{http://dx.doi.org/10.1097/SLA.0000000000001180}},
  volume       = {{261}},
  year         = {{2015}},
}

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