The International Position on Laparoscopic Liver Surgery

The International Position on Laparoscopic Liver Surgery
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腹腔镜肝脏手术的国际地位

DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
R. Chari
R. Chari
中科院分区：
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文献类型：
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作者：
J. Buell;D. Cherqui;D. Geller;D. Iannitti;I. Dagher;A. Koffron;M. Thomas;B. Gayet;Ho;G. Wakabayashi;G. Belli;H. Kaneko;C. Ker;O. Scatton;A. Laurent;E. Abdalla;P. Chaudhury;E. Dutson;C. Gamblin;D. Nagorney;G. Testa;D. Labow;D. Manas;R. Poon;H. Nelson;Robert C. G. Martin;B. Clary;W. Pinson;J. Martinie;J. Vauthey;R. Goldstein;S. Roayaie;David Barlet;Joseph Espat;M. Abecassis;M. Rees;Y. Fong;K. McMasters;C. Broelsch;R. Busuttil;J. Belghiti;S. Strasberg;R. Chari

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背景资料：多个系列报道了腹腔镜肝脏手术的安全性和有效性。中小型手术在许多中心已变得司空见惯，而在高度专业化的中心，腹腔镜肝切除术的有效性和安全性与开放手术相当。虽然该领域已经开始迅速扩大，但尚未召开共识会议来讨论腹腔镜肝脏手术的发展领域。研究方法：2008年11月7日至8日，45名肝胆外科专家被邀请参加在美国肯塔基州路易斯维尔举行的共识会议。此外，来自5大洲的300多名与会者出席了会议。会议分为几个部分，每个部分有两名主持人，以促进讨论和突出争议。会议的形式多种多样，从正式介绍经验数据到专家意见辩论。制作了专题介绍的书面和录像。讨论的具体领域包括手术适应症、患者选择、手术技术、并发症、患者安全和外科医生培训。
Summary Background Data: Multiple series have reported on the safety andefficacy of laparoscopic liver surgery. Small and medium sized procedures havebecome commonplace in many centers, while major laparoscopic liver resec-tions have been performed with efficacy and safety equaling open surgery inhighly specialized centers. Although the field has begun to expand rapidly, noconsensus meeting has been convened to discuss the evolving field of laparo-scopic liver surgery. Methods: On November 7 to 8, 2008, 45 experts in hepatobiliary surgery wereinvitedtoparticipateinaconsensusconferenceconvenedinLouisville,KY,US.In addition, over 300 attendees were present from 5 continents. The conferencewas divided into sessions, with 2 moderators assigned to each, so as to stimulatediscussion and highlight controversies. The format of the meeting varied fromformal presentation of experiential data to expert opinion debates. Written andvideo records of the presentations were produced. Specific areas of discussionincluded indications for surgery, patient selection, surgical techniques, compli-cations, patient safety, and surgeon training.