Background There is a growing body of literature pertaining to minimally invasive pancreatic resection (MIPR). Heterogeneity in MIPR terminology, leads to confusion and inconsistency. The Organizing Committee of the State of the Art Conference on MIPR collaborated to standardize MIPR terminology. Methods After formal literature review for âminimally invasive pancreatic surgeryâ term, key terminology elements were identified. A questionnaire was created assessing the type of resection, the approach, completion, and conversion. Delphi process was used to identify the level of agreement among the experts. Results A systematic terminology template was developed based on combining the approach and resection taking into account the completion. For a solitary approach the term should combine âapproach + resectionâ (e.g. âlaparoscopic pancreatoduodenectomy); for combined approaches the term must combine âfirst approach + resectionâ with âsecond approach + reconstructionâ (e.g. âlaparoscopic central pancreatectomyâ with âopen pancreaticojejunostomyâ) and where conversion has resulted the recommended term is âfirst approachâ + âconverted toâ + âsecond approachâ + âresectionâ (e.g. ârobot-assistedâ âconverted to openâ âpancreatoduodenectomyâ) Conclusions The guidelines presented are geared towards standardizing terminology for MIPR, establishing a basis for comparative analyses and registries and allow incorporating future surgical and technological advances in MIPR.
Standardizing terminology for minimally invasive pancreatic resection
Boggi, Ugo;
2017-01-01
Abstract
Background There is a growing body of literature pertaining to minimally invasive pancreatic resection (MIPR). Heterogeneity in MIPR terminology, leads to confusion and inconsistency. The Organizing Committee of the State of the Art Conference on MIPR collaborated to standardize MIPR terminology. Methods After formal literature review for âminimally invasive pancreatic surgeryâ term, key terminology elements were identified. A questionnaire was created assessing the type of resection, the approach, completion, and conversion. Delphi process was used to identify the level of agreement among the experts. Results A systematic terminology template was developed based on combining the approach and resection taking into account the completion. For a solitary approach the term should combine âapproach + resectionâ (e.g. âlaparoscopic pancreatoduodenectomy); for combined approaches the term must combine âfirst approach + resectionâ with âsecond approach + reconstructionâ (e.g. âlaparoscopic central pancreatectomyâ with âopen pancreaticojejunostomyâ) and where conversion has resulted the recommended term is âfirst approachâ + âconverted toâ + âsecond approachâ + âresectionâ (e.g. ârobot-assistedâ âconverted to openâ âpancreatoduodenectomyâ) Conclusions The guidelines presented are geared towards standardizing terminology for MIPR, establishing a basis for comparative analyses and registries and allow incorporating future surgical and technological advances in MIPR.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.