International consensus statement on robotic hepatectomy surgery in 2018

Rong Liu, Go Wakabayashi, Hong Jin Kim, Gi Hong Choi, Anusak Yiengpruksawan, Yuman Fong, Jin He, Ugo Boggi, Roberto I. Troisi, Mikhail Efanov, Daniel Azoulay, Daniel Azoulay, Fabrizio Panaro, Patrick Pessaux, Xiao Ying Wang, Jia Fan, Ji Ye Zhu, Shao Geng Zhang, Chuan Dong Sun, Zheng WuKai Shan Tao, Ke Hu Yang, Xiao Ping Chen

Research output: Contribution to journalReview articlepeer-review

34 Scopus citations


The robotic surgical system has been applied in liver surgery. However, controversies concerns exist regarding a variety of factors including the safety, feasibility, efficacy, and cost-effectiveness of robotic surgery. To promote the development of robotic hepatectomy, this study aimed to evaluate the current status of robotic hepatectomy and provide sixty experts' consensus and recommendations to promote its development. Based on the World Health Organization Handbook for Guideline Development, a Consensus Steering Group and a Consensus Development Group were established to determine the topics, prepare evidence-based documents, and generate recommendations. The GRADE Grid method and Delphi vote were used to formulate the recommendations. A total of 22 topics were prepared analyzed and widely discussed during the 4 meetings. Based on the published articles and expert panel opinion, 7 recommendations were generated by the GRADE method using an evidence-based method, which focused on the safety, feasibility, indication, techniques and cost-effectiveness of hepatectomy. Given that the current evidences were low to very low as evaluated by the GRADE method, further randomized-controlled trials are needed in the future to validate these recommendations.

Original languageEnglish (US)
Pages (from-to)1432-1444
Number of pages13
JournalWorld Journal of Gastroenterology
Issue number12
StatePublished - Mar 2019


  • Consensus statement
  • Hepatectomy resection
  • Laparoscopic hepatectomy
  • Minimally invasive surgery
  • Robotic hepatectomy

ASJC Scopus subject areas

  • Gastroenterology


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