A Consensus Meeting on Expert Recommendations on Operating Specifications for Laparoscopic Radical Resection of Hilar Cholangiocarcinoma

Background: With advances in techniques and technologies, laparoscopic radical resection of hilar cholangiocarcinoma (HCCA) has gradually been carried out in major medical centers in China. Its feasibility and safety have been accepted by a group of Chinese surgical experts.Methods: To standardize p...

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Autores principales:	Yongfu Xiong, Li Jingdong, Tang Zhaohui, Joseph Lau
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	expert recommendations operating specifications laparoscopic radical resection hilar cholangiocarcinoma consensus meeting Surgery RD1-811
Acceso en línea:	https://doaj.org/article/327070e8a91c4d86b0bf6200c2c38ef8
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spelling	oai:doaj.org-article:327070e8a91c4d86b0bf6200c2c38ef82021-11-30T11:59:20ZA Consensus Meeting on Expert Recommendations on Operating Specifications for Laparoscopic Radical Resection of Hilar Cholangiocarcinoma2296-875X10.3389/fsurg.2021.731448https://doaj.org/article/327070e8a91c4d86b0bf6200c2c38ef82021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.731448/fullhttps://doaj.org/toc/2296-875XBackground: With advances in techniques and technologies, laparoscopic radical resection of hilar cholangiocarcinoma (HCCA) has gradually been carried out in major medical centers in China. Its feasibility and safety have been accepted by a group of Chinese surgical experts.Methods: To standardize perioperative management of HCCA by using laparoscopic resectional approach, to ensure safety of the patient with standardized management, improve prognosis of the patient, and enable proper application and refinement of this surgical approach, the expert group on specifications for laparoscopic radical resection of HCCA in China organized a consensus meeting.Results: Laparoscopic radical resection of HCCA is difficult and associated with high risks. Appropriate patients should be carefully selected and this surgical approach should be promoted gradually. The experts met and arrived at 16 recommendations on perioperative management of HCCA by using laparoscopic surgery. There were three recommendations on preoperative diagnosis and evaluation; one recommendation on surgical principles of treatment; one recommendation on indications and contraindications; one recommendation on credentialing, staffing, and equipment; nine recommendations on laparoscopic techniques in different stages of operation; and one recommendation on indications for conversion to open surgery.Conclusion: Laparoscopic surgery for HCCA is still in the early phase of development. This consensus provides a clinical reference with the aim to promote and to facilitate its further development.Yongfu XiongYongfu XiongYongfu XiongYongfu XiongLi JingdongLi JingdongLi JingdongTang ZhaohuiJoseph LauFrontiers Media S.A.articleexpert recommendationsoperating specificationslaparoscopic radical resectionhilar cholangiocarcinomaconsensus meetingSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	expert recommendations operating specifications laparoscopic radical resection hilar cholangiocarcinoma consensus meeting Surgery RD1-811
spellingShingle	expert recommendations operating specifications laparoscopic radical resection hilar cholangiocarcinoma consensus meeting Surgery RD1-811 Yongfu Xiong Yongfu Xiong Yongfu Xiong Yongfu Xiong Li Jingdong Li Jingdong Li Jingdong Tang Zhaohui Joseph Lau A Consensus Meeting on Expert Recommendations on Operating Specifications for Laparoscopic Radical Resection of Hilar Cholangiocarcinoma
description	Background: With advances in techniques and technologies, laparoscopic radical resection of hilar cholangiocarcinoma (HCCA) has gradually been carried out in major medical centers in China. Its feasibility and safety have been accepted by a group of Chinese surgical experts.Methods: To standardize perioperative management of HCCA by using laparoscopic resectional approach, to ensure safety of the patient with standardized management, improve prognosis of the patient, and enable proper application and refinement of this surgical approach, the expert group on specifications for laparoscopic radical resection of HCCA in China organized a consensus meeting.Results: Laparoscopic radical resection of HCCA is difficult and associated with high risks. Appropriate patients should be carefully selected and this surgical approach should be promoted gradually. The experts met and arrived at 16 recommendations on perioperative management of HCCA by using laparoscopic surgery. There were three recommendations on preoperative diagnosis and evaluation; one recommendation on surgical principles of treatment; one recommendation on indications and contraindications; one recommendation on credentialing, staffing, and equipment; nine recommendations on laparoscopic techniques in different stages of operation; and one recommendation on indications for conversion to open surgery.Conclusion: Laparoscopic surgery for HCCA is still in the early phase of development. This consensus provides a clinical reference with the aim to promote and to facilitate its further development.
format	article
author	Yongfu Xiong Yongfu Xiong Yongfu Xiong Yongfu Xiong Li Jingdong Li Jingdong Li Jingdong Tang Zhaohui Joseph Lau
author_facet	Yongfu Xiong Yongfu Xiong Yongfu Xiong Yongfu Xiong Li Jingdong Li Jingdong Li Jingdong Tang Zhaohui Joseph Lau
author_sort	Yongfu Xiong
title	A Consensus Meeting on Expert Recommendations on Operating Specifications for Laparoscopic Radical Resection of Hilar Cholangiocarcinoma
title_short	A Consensus Meeting on Expert Recommendations on Operating Specifications for Laparoscopic Radical Resection of Hilar Cholangiocarcinoma
title_full	A Consensus Meeting on Expert Recommendations on Operating Specifications for Laparoscopic Radical Resection of Hilar Cholangiocarcinoma
title_fullStr	A Consensus Meeting on Expert Recommendations on Operating Specifications for Laparoscopic Radical Resection of Hilar Cholangiocarcinoma
title_full_unstemmed	A Consensus Meeting on Expert Recommendations on Operating Specifications for Laparoscopic Radical Resection of Hilar Cholangiocarcinoma
title_sort	consensus meeting on expert recommendations on operating specifications for laparoscopic radical resection of hilar cholangiocarcinoma
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/327070e8a91c4d86b0bf6200c2c38ef8
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A Consensus Meeting on Expert Recommendations on Operating Specifications for Laparoscopic Radical Resection of Hilar Cholangiocarcinoma

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