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

Wakabayashi, Go, Cherqui, Daniel, Geller, David A., Buell, Joseph E., Kaneko, Hironori, Han, Ho Seong, Asbun, Horacio, O'Rourke, Nicholas, Tanabe, Minoru, Koffron, Alan J., Tsung, Allan, Soubrane, Olivier, Machado, Marcel Autran, Gayet, Brice, Troisi, Roberto I., Pessaux, Patrick, Van Dam, Ronald M., Scatton, Olivier, Abu Hilal, Mohammad, Belli, Giulio, Kwon, Choon Hyuck David, Edwin, Bjorn, Choi, Gi Hong, Aldrighetti, Luca Antonio, Cai, Xiujun, Clemy, Sean, Chen, Kuo-Hsin, Schoen, Michael R., Sugioka, Atsushi, Tang, Chung-Ngai, Herman, Paulo, Pekolj, Juan, Chen, Xiao-Ping, Dagher, Ibrahim, Jarnagin, William, Yamamoto, Masakazu, Strong, Russell, Jagannath, Palepu, Lo, Chung-Mau, Clavien, Pierre-Alain, Kokudo, Norihiro, Barkun, Jeffrey and Strasberg, Steven M. (2015). Recommendations for laparoscopic liver resection a report from the second international consensus conference held in Morioka. In: The 2nd International Consensus Conference on Laparoscopic Liver Resection, Morioke, Iwate, Japan, (619-629). 4-6 October 2014. doi:10.1097/SLA.0000000000001184

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Author Wakabayashi, Go
Cherqui, Daniel
Geller, David A.
Buell, Joseph E.
Kaneko, Hironori
Han, Ho Seong
Asbun, Horacio
O'Rourke, Nicholas
Tanabe, Minoru
Koffron, Alan J.
Tsung, Allan
Soubrane, Olivier
Machado, Marcel Autran
Gayet, Brice
Troisi, Roberto I.
Pessaux, Patrick
Van Dam, Ronald M.
Scatton, Olivier
Abu Hilal, Mohammad
Belli, Giulio
Kwon, Choon Hyuck David
Edwin, Bjorn
Choi, Gi Hong
Aldrighetti, Luca Antonio
Cai, Xiujun
Clemy, Sean
Chen, Kuo-Hsin
Schoen, Michael R.
Sugioka, Atsushi
Tang, Chung-Ngai
Herman, Paulo
Pekolj, Juan
Chen, Xiao-Ping
Dagher, Ibrahim
Jarnagin, William
Yamamoto, Masakazu
Strong, Russell
Jagannath, Palepu
Lo, Chung-Mau
Clavien, Pierre-Alain
Kokudo, Norihiro
Barkun, Jeffrey
Strasberg, Steven M.
Title of paper Recommendations for laparoscopic liver resection a report from the second international consensus conference held in Morioka
Conference name The 2nd International Consensus Conference on Laparoscopic Liver Resection
Conference location Morioke, Iwate, Japan
Conference dates 4-6 October 2014
Convener Go Wakabayashi
Journal name Annals of Surgery   Check publisher's open access policy
Place of Publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Publication Year 2015
Sub-type Fully published paper
DOI 10.1097/SLA.0000000000001184
Open Access Status Not yet assessed
ISSN 0003-4932
Volume 261
Issue 4
Start page 619
End page 629
Total pages 11
Collection year 2016
Language eng
Abstract/Summary 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.
Keyword Anatomical resection
Colorectal liver metastasis
Donor hepatectomy
Hepatocellular carcinoma
Liver resection
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Conference Paper
Collections: Official 2016 Collection
School of Medicine Publications
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