机构：[1]Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China华中科技大学同济医学院附属同济医院[2]Mayo Clinic, Rochester, MN, USA[3]Division of Surgical Oncology, Department of Surgery, The John Hopkins UniversitySchool of Medicine, Baltimore, MD, USA[4]Department of Surgery, University of Oklahoma, Oklahoma City, OK, USA[5]Department of SurgicalGastroenterology and Hepatopancreatobiliary Surgery, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India[6]Clinical Surgery,Royal Infirmary of Edinburgh and University of Edinburgh, Edinburgh, UK[7]Department of General Surgery, Peking University First Hospital,Beijing, China[8]Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA[9]Department of General Surgery, PekingUnion Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China[10]Department ofGastroenterology and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, China[11]Departmentof Pancreatic Surgery, Fudan University Shanghai Cancer Center, Fudan University, Shanghai, China[12]Department of Pancreatic Surgery, WestChina Hospital, Sichuan University, Chengdu, China[13]Department of Surgery, Seoul National University College of Medicine, Seoul NationalUniversity Bundang Hospital, Seoul, Korea[14]Division of Hepatopancreatobiliary Surgery, Department of Surgery, Asan Medical Center, Seoul,Korea[15]Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan[16]Department of Surgery, NUTRIM Schoolof Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, Maastricht, The Netherlands[17]Department ofSurgical Disciplines, All India Institute of Medical Sciences, New Delhi, India[18]Department of Hepatopancreatobiliary and Transplant Surgery,Singapore General Hospital, Singapore, Singapore[19]Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong,China[20]Department of General Surgery, Hospital Conde S. Januário, Macau, China[21]Department of Surgery, National Taiwan University Hospitaland National Taiwan University College of Medicine, Taipei[22]Department of Pancreatic and Gastric Surgery, National Cancer Center/CancerHospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China[23]Department of Surgery, University Hospital,Macau University of Science and Technology, Macau, China[24]Department of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University,Hangzhou, China[25]Department of Hepatopancreatobiliary Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou, China
Importance: While laparoscopic pancreaticoduodenectomy (LPD) is being adopted with increasing enthusiasm worldwide, it is still challenging for both technical and anatomical reasons. Currently, there is no consensus on the technical standards for LPD. Objective: The aim of this consensus statement is to guide the continued safe progression and adoption of LPD. Evidence Review: An international panel of experts was selected based on their clinical and scientific expertise in laparoscopic and open pancreaticoduodenectomy. Statements were produced upon reviewing the literature and assessed by the members of the expert panel. The literature search and its critical appraisal were limited to articles published in English during the period from 1994 to 2019. The Web of Science, Medline, and Cochrane Library and Clinical Trials databases were searched, The search strategy included, but was not limited to, the terms 'laparoscopic', 'pancreaticoduodenectomy, 'pancreatoduodenectomy', 'Whipple's operation', and 'minimally invasive surgery'. Reference lists from the included articles were manually checked for any additional studies, which were included when appropriate. Delphi method was used to establish expert consensus and the AGREE II-GRS Instrument was applied to assess the methodological quality and externally validate the final statements. The statements were further discussed during a one-day face-to-face meeting at the 1st Summit on Minimally Invasive Pancreatico-Biliary Surgery in Wuhan, China. Findings: Twenty-eight international experts from 8 countries constructed the expert panel. Sixteen statements were produced by the members of the expert panel. At least 80% of responders agreed with the majority (80%) of statements. Other than three randomized controlled trials published to date, most evidences were based on level 3 or 4 studies according to the AGREE II-GRS Instrument. Conclusions and Relevance: The Wuhan international expert consensus meeting on LPD has produced a set of clinical practice statements for the safe development and progression of LPD. LPD is currently in its development and exploration stages, as defined by the international IDEAL framework for surgical innovation. More robust randomized controlled trial and registry study are essential to proceed with the assessment of LPD.
基金：
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81772950]; Tongji Hospital Clinical Research Flagship Program [2019CR203]
第一作者机构：[1]Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China[*1]Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
通讯作者：
通讯机构：[1]Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China[9]Department of General Surgery, PekingUnion Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China[*1]Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China[*2]Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
推荐引用方式(GB/T 7714)：
Renyi Qin,Michael L. Kendrick,Christopher L. Wolfgang,et al.International expert consensus on laparoscopic pancreaticoduodenectomy[J].HEPATOBILIARY SURGERY AND NUTRITION.2020,9(4):464-+.doi:10.21037/hbsn-20-446.
APA：
Renyi Qin,Michael L. Kendrick,Christopher L. Wolfgang,Barish H. Edil,Chinnusamy Palanivelu...&Yupei Zhao.(2020).International expert consensus on laparoscopic pancreaticoduodenectomy.HEPATOBILIARY SURGERY AND NUTRITION,9,(4)
MLA：
Renyi Qin,et al."International expert consensus on laparoscopic pancreaticoduodenectomy".HEPATOBILIARY SURGERY AND NUTRITION 9..4(2020):464-+
