Standardizing terminology for minimally invasive pancreatic resection.
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.



After formal literature review for "minimally invasive pancreatic surgery" 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.



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 "approach + resection" (e.g. "laparoscopic pancreatoduodenectomy); for combined approaches the term must combine "first approach + resection" with "second approach + reconstruction" (e.g. "laparoscopic central pancreatectomy" with "open pancreaticojejunostomy") and where conversion has resulted the recommended term is "first approach" + "converted to" + "second approach" + "resection" (e.g. "robot-assisted" "converted to open" "pancreatoduodenectomy") 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.
Universidade de Sao Paulo, Sao Paulo, Brazil. Electronic address: almontag@uol.com.br.
Andre L
AL
Montagnini
University of Oslo University, Oslo, Norway.
Bård I
BI
Røsok
Mayo Clinic Florida, Jacksonville, FL, USA.
Horacio J
HJ
Asbun
McGill University, Montreal, Quebec, Canada.
Jeffrey
J
Barkun
Academic Medical Center, Amsterdam, The Netherlands.
Marc G
MG
Besselink
University of Pisa, Pisa, Italy.
Ugo
U
Boggi
The University of Dublin, Trinity College, Dublin, Ireland.
Kevin C P
KC
Conlon
University Hospital of Graz, Graz, Austria.
Abe
A
Fingerhut
Seoul National University, SeongNam si, Korea.
Ho-Seong
HS
Han
Portland Providence Cancer Center, Portland, OR, USA.
Paul D
PD
Hansen
University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Melissa E
ME
Hogg
The Mayo Clinic Rochester, Rochester, MN, USA.
Michael L
ML
Kendrick
GEM Hospital & Research Center, Coimbatore, Tamil Nadu, India.
Chinnusamy
C
Palanivelu
Tata Memorial Centre, Mumbai, India.
Shailesh V
SV
Shrikhande
Ageo Central General Hospital, Saitama, Japan.
Go
G
Wakabayashi
University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Herbert
H
Zeh
The University of Pennsylvania, Philadelphia, PA, USA.
Charles M
CM
Vollmer
Emory University School of Medicine, Atlanta, GA, USA.
David A
DA
Kooby
D032921:Consensus; D003697:Delphi Technique; D006801:Humans; D010535:Laparoscopy / Q000145:classification*; D010180:Pancreatectomy / Q000145:classification*; D016577:Pancreaticoduodenectomy / Q000145:classification*; D065287:Robotic Surgical Procedures / Q000145:classification*; D009626:Terminology as Topic