Abstract:With advancements in robotic surgery technology and applications, its prospects in pancreatic surgery are becoming increasingly promising. Recent studies have shown that robotic pancreatic surgery has unique advantages over open and laparoscopic methods in certain aspects. While the international minimally invasive surgery field continues to evolve, the comprehensive clinical application of robotic pancreatic surgery still requires evidence-based medical guidance. Our team has taken the lead in updating and publishing the International Consensus Guidelines for Robotic Pancreatic Surgery (2023 Edition) in the journal Hepatobiliary Surgery and Nutrition, based on the International consensus statement on robotic pancreatic surgery This effort brought together numerous experts in minimally invasive surgery from the United States, Europe, and Oceania. The analysis of 176 studies included after systematic literature evaluation was conducted using the World Health Organization (WHO) Handbook for Guideline Development, GRADE Grid method, Delphi vote, and AGREE-Ⅱ instrument. Detailed discussions were provided on topics such as robotic pancreatoduodenectomy, robotic distal pancreatectomy, and robotic central pancreatectomy. Following expert assessments and a comprehensive evaluation of evidence quality and credibility, 19 questions and 14 recommendations were proposed, aiming to provide a basis for the safe and effective promotion of robotic pancreatic surgery in comprehensive or specialty medical centers both in China and elsewhere. The new consensus also emphasizes the importance of randomized controlled trial evidence for several issues, highlighting a direction for further efforts to promote the safe and effective implementation of robotic pancreatic surgery.
