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

Horacio J. Asbun; Alma L. Moekotte; Frederique L. Vissers; Filipe Kunzler; Federica Cipriani; Adnan Alseidi; Michael I. D'Angelica; Alberto Balduzzi; Claudio Bassi; Bergthor Björnsson; Ugo Boggi; Mark P. Callery; Marco Del Chiaro; Felipe J. Coimbra; Claudius Conrad; Andrew Cook; Alessandro Coppola; Christos Dervenis; Safi Dokmak; Barish H. Edil; Bjørn Edwin; Pier C. Giulianotti; Ho Seong Han; Paul D. Hansen; Nicky Van Der Heijde; Jony Van Hilst; Caitlin A. Hester; Melissa E. Hogg; Nicolas Jarufe; D. Rohan Jeyarajah; Tobias Keck; Song Cheol Kim; Igor E. Khatkov; Norihiro Kokudo; David A. Kooby; Maarten Korrel; Francisco J. De Leon; Nuria Lluis; Sanne Lof; Marcel A. Machado; Nicolas Demartines; John B. Martinie; Nipun B. Merchant; I. Quintus Molenaar; Cassadie Moravek; Yi Ping Mou; Masafumi Nakamura; William H. Nealon; Chinnusamy Palanivelu; Patrick Pessaux; Henry A. Pitt; Patricio M. Polanco; John N. Primrose; Arab Rawashdeh; Dominic E. Sanford; Palanisamy Senthilnathan; Shailesh V. Shrikhande; John A. Stauffer; Kyoichi Takaori; Mark S. Talamonti; Chung N. Tang; Charles M. Vollmer; Go Wakabayashi; R. Matthew Walsh; Shin E. Wang; Michael J. Zinner; Christopher L. Wolfgang; Amer H. Zureikat; Maurice J. Zwart; Kevin C. Conlon; Michael L. Kendrick; Herbert J. Zeh; Mohammad Abu Hilal; Marc G. Besselink

doi:10.1097/SLA.0000000000003590

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

Horacio J. Asbun, Alma L. Moekotte, Frederique L. Vissers, Filipe Kunzler, Federica Cipriani, Adnan Alseidi, Michael I. D'Angelica, Alberto Balduzzi, Claudio Bassi, Bergthor Björnsson, Ugo Boggi, Mark P. Callery, Marco Del Chiaro, Felipe J. Coimbra, Claudius Conrad, Andrew Cook, Alessandro Coppola, Christos Dervenis, Safi Dokmak, Barish H. EdilBjørn Edwin, Pier C. Giulianotti, Ho Seong Han, Paul D. Hansen, Nicky Van Der Heijde, Jony Van Hilst, Caitlin A. Hester, Melissa E. Hogg, Nicolas Jarufe, D. Rohan Jeyarajah, Tobias Keck, Song Cheol Kim, Igor E. Khatkov, Norihiro Kokudo, David A. Kooby, Maarten Korrel, Francisco J. De Leon, Nuria Lluis, Sanne Lof, Marcel A. Machado, Nicolas Demartines, John B. Martinie, Nipun B. Merchant, I. Quintus Molenaar, Cassadie Moravek, Yi Ping Mou, Masafumi Nakamura, William H. Nealon, Chinnusamy Palanivelu, Patrick Pessaux, Henry A. Pitt, Patricio M. Polanco, John N. Primrose, Arab Rawashdeh, Dominic E. Sanford, Palanisamy Senthilnathan, Shailesh V. Shrikhande, John A. Stauffer, Kyoichi Takaori, Mark S. Talamonti, Chung N. Tang, Charles M. Vollmer, Go Wakabayashi, R. Matthew Walsh, Shin E. Wang, Michael J. Zinner, Christopher L. Wolfgang, Amer H. Zureikat, Maurice J. Zwart, Kevin C. Conlon, Michael L. Kendrick, Herbert J. Zeh, Mohammad Abu Hilal, Marc G. Besselink

Research output: Contribution to journal › Article › peer-review

290 Scopus citations

Abstract

Objective: The aim of this 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, the Society for Surgery of the Alimentary Tract, and the Society of Surgical Oncology. 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: The 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.

Original language	English (US)
Pages (from-to)	1-14
Number of pages	14
Journal	Annals of surgery
Volume	271
Issue number	1
DOIs	https://doi.org/10.1097/SLA.0000000000003590
State	Published - Jan 1 2020

Keywords

Whipple
central pancreatectomy
distal pancreatectomy
guidelines
implementation
laparoscopic
left pancreatectomy
minimally invasive
pancreatoduodenectomy
robot
robot assisted
robotic
techniques
training

ASJC Scopus subject areas

Surgery

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10.1097/SLA.0000000000003590

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Asbun, H. J., Moekotte, A. L., Vissers, F. L., Kunzler, F., Cipriani, F., Alseidi, A., D'Angelica, M. I., Balduzzi, A., Bassi, C., Björnsson, B., Boggi, U., Callery, M. P., Del Chiaro, M., Coimbra, F. J., Conrad, C., Cook, A., Coppola, A., Dervenis, C., Dokmak, S., ... Besselink, M. G. (2020). The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection. Annals of surgery, 271(1), 1-14. https://doi.org/10.1097/SLA.0000000000003590

Asbun, HJ, Moekotte, AL, Vissers, FL, Kunzler, F, Cipriani, F, Alseidi, A, D'Angelica, MI, Balduzzi, A, Bassi, C, Björnsson, B, Boggi, U, Callery, MP, Del Chiaro, M, Coimbra, FJ, Conrad, C, Cook, A, Coppola, A, Dervenis, C, Dokmak, S, Edil, BH, Edwin, B, Giulianotti, PC, Han, HS, Hansen, PD, Van Der Heijde, N, Van Hilst, J, Hester, CA, Hogg, ME, Jarufe, N, Jeyarajah, DR, Keck, T, Kim, SC, Khatkov, IE, Kokudo, N, Kooby, DA, Korrel, M, De Leon, FJ, Lluis, N, Lof, S, Machado, MA, Demartines, N, Martinie, JB, Merchant, NB, Molenaar, IQ, Moravek, C, Mou, YP, Nakamura, M, Nealon, WH, Palanivelu, C, Pessaux, P, Pitt, HA, Polanco, PM, Primrose, JN, Rawashdeh, A, Sanford, DE, Senthilnathan, P, Shrikhande, SV, Stauffer, JA, Takaori, K, Talamonti, MS, Tang, CN, Vollmer, CM, Wakabayashi, G, Walsh, RM, Wang, SE, Zinner, MJ, Wolfgang, CL, Zureikat, AH, Zwart, MJ, Conlon, KC, Kendrick, ML, Zeh, HJ, Hilal, MA & Besselink, MG 2020, 'The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection', Annals of surgery, vol. 271, no. 1, pp. 1-14. https://doi.org/10.1097/SLA.0000000000003590

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title = "The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection",

abstract = "Objective: The aim of this 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, the Society for Surgery of the Alimentary Tract, and the Society of Surgical Oncology. 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: The 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.",

keywords = "Whipple, central pancreatectomy, distal pancreatectomy, guidelines, implementation, laparoscopic, left pancreatectomy, minimally invasive, pancreatoduodenectomy, robot, robot assisted, robotic, techniques, training",

author = "Asbun, {Horacio J.} and Moekotte, {Alma L.} and Vissers, {Frederique L.} and Filipe Kunzler and Federica Cipriani and Adnan Alseidi and D'Angelica, {Michael I.} and Alberto Balduzzi and Claudio Bassi and Bergthor Bj{\"o}rnsson and Ugo Boggi and Callery, {Mark P.} and {Del Chiaro}, Marco and Coimbra, {Felipe J.} and Claudius Conrad and Andrew Cook and Alessandro Coppola and Christos Dervenis and Safi Dokmak and Edil, {Barish H.} and Bj{\o}rn Edwin and Giulianotti, {Pier C.} and Han, {Ho Seong} and Hansen, {Paul D.} and {Van Der Heijde}, Nicky and {Van Hilst}, Jony and Hester, {Caitlin A.} and Hogg, {Melissa E.} and Nicolas Jarufe and Jeyarajah, {D. Rohan} and Tobias Keck and Kim, {Song Cheol} and Khatkov, {Igor E.} and Norihiro Kokudo and Kooby, {David A.} and Maarten Korrel and {De Leon}, {Francisco J.} and Nuria Lluis and Sanne Lof and Machado, {Marcel A.} and Nicolas Demartines and Martinie, {John B.} and Merchant, {Nipun B.} and Molenaar, {I. Quintus} and Cassadie Moravek and Mou, {Yi Ping} and Masafumi Nakamura and Nealon, {William H.} and Chinnusamy Palanivelu and Patrick Pessaux and Pitt, {Henry A.} and Polanco, {Patricio M.} and Primrose, {John N.} and Arab Rawashdeh and Sanford, {Dominic E.} and Palanisamy Senthilnathan and Shrikhande, {Shailesh V.} and Stauffer, {John A.} and Kyoichi Takaori and Talamonti, {Mark S.} and Tang, {Chung N.} and Vollmer, {Charles M.} and Go Wakabayashi and Walsh, {R. Matthew} and Wang, {Shin E.} and Zinner, {Michael J.} and Wolfgang, {Christopher L.} and Zureikat, {Amer H.} and Zwart, {Maurice J.} and Conlon, {Kevin C.} and Kendrick, {Michael L.} and Zeh, {Herbert J.} and Hilal, {Mohammad Abu} and Besselink, {Marc G.}",

year = "2020",

month = jan,

day = "1",

doi = "10.1097/SLA.0000000000003590",

language = "English (US)",

volume = "271",

pages = "1--14",

journal = "Annals of surgery",

issn = "0003-4932",

publisher = "Lippincott Williams and Wilkins",

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TY - JOUR

T1 - The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection

AU - Asbun, Horacio J.

AU - Moekotte, Alma L.

AU - Vissers, Frederique L.

AU - Kunzler, Filipe

AU - Cipriani, Federica

AU - Alseidi, Adnan

AU - D'Angelica, Michael I.

AU - Balduzzi, Alberto

AU - Bassi, Claudio

AU - Björnsson, Bergthor

AU - Boggi, Ugo

AU - Callery, Mark P.

AU - Del Chiaro, Marco

AU - Coimbra, Felipe J.

AU - Conrad, Claudius

AU - Cook, Andrew

AU - Coppola, Alessandro

AU - Dervenis, Christos

AU - Dokmak, Safi

AU - Edil, Barish H.

AU - Edwin, Bjørn

AU - Giulianotti, Pier C.

AU - Han, Ho Seong

AU - Hansen, Paul D.

AU - Van Der Heijde, Nicky

AU - Van Hilst, Jony

AU - Hester, Caitlin A.

AU - Hogg, Melissa E.

AU - Jarufe, Nicolas

AU - Jeyarajah, D. Rohan

AU - Keck, Tobias

AU - Kim, Song Cheol

AU - Khatkov, Igor E.

AU - Kokudo, Norihiro

AU - Kooby, David A.

AU - Korrel, Maarten

AU - De Leon, Francisco J.

AU - Lluis, Nuria

AU - Lof, Sanne

AU - Machado, Marcel A.

AU - Demartines, Nicolas

AU - Martinie, John B.

AU - Merchant, Nipun B.

AU - Molenaar, I. Quintus

AU - Moravek, Cassadie

AU - Mou, Yi Ping

AU - Nakamura, Masafumi

AU - Nealon, William H.

AU - Palanivelu, Chinnusamy

AU - Pessaux, Patrick

AU - Pitt, Henry A.

AU - Polanco, Patricio M.

AU - Primrose, John N.

AU - Rawashdeh, Arab

AU - Sanford, Dominic E.

AU - Senthilnathan, Palanisamy

AU - Shrikhande, Shailesh V.

AU - Stauffer, John A.

AU - Takaori, Kyoichi

AU - Talamonti, Mark S.

AU - Tang, Chung N.

AU - Vollmer, Charles M.

AU - Wakabayashi, Go

AU - Walsh, R. Matthew

AU - Wang, Shin E.

AU - Zinner, Michael J.

AU - Wolfgang, Christopher L.

AU - Zureikat, Amer H.

AU - Zwart, Maurice J.

AU - Conlon, Kevin C.

AU - Kendrick, Michael L.

AU - Zeh, Herbert J.

AU - Hilal, Mohammad Abu

AU - Besselink, Marc G.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Objective: The aim of this 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, the Society for Surgery of the Alimentary Tract, and the Society of Surgical Oncology. 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: The 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.

AB - Objective: The aim of this 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, the Society for Surgery of the Alimentary Tract, and the Society of Surgical Oncology. 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: The 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.

KW - Whipple

KW - central pancreatectomy

KW - distal pancreatectomy

KW - guidelines

KW - implementation

KW - laparoscopic

KW - left pancreatectomy

KW - minimally invasive

KW - pancreatoduodenectomy

KW - robot

KW - robot assisted

KW - robotic

KW - techniques

KW - training

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U2 - 10.1097/SLA.0000000000003590

DO - 10.1097/SLA.0000000000003590

M3 - Article

C2 - 31567509

AN - SCOPUS:85072322974

SN - 0003-4932

VL - 271

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JO - Annals of surgery

JF - Annals of surgery

IS - 1

ER -

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

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