An international multidisciplinary consensus statement on laparoscopic liver biopsy
Si-Yi LeiMAFLD Research Center, Department of Hepatology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China; Cixi Biomedical Research Institute, Wenzhou Medical University, Wenzhou, ChinaYu HanDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDon C. RockeyThe Digestive Disease Research Center, Medical University of South Carolina, Charleston, SC, USAKhalid AlswatLiver Disease Research Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi ArabiaVincent Wai-Sun WongMedical Data Analytics Centre, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China; State Key Laboratory of Digestive Disease, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, ChinaNozim JumaevDepartment of Surgical Diseases, Tashkent State Medical University, Tashkent, Almazar, UzbekistanCarlos Jesús Toro-HuamanchumoOBEMET Center for Obesity and Metabolic Health, Lima, Peru; Universidad San Ignacio de Loyola, Lima, Peru; Nutrition & Health Innovation Research Institute, Edith Cowan University, Perth, WS, AustraliaSafwan TahaThe Metabolic and Bariatric Surgery Center of Excellence (SRC), Mediclinic Airport Road Hospital, Abu Dhabi, UAEMohamed El-KassasEndemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt; Applied Science Research Center, Applied Science Private University, Amman, Jordan; Steatotic Liver Disease Study Foundation in Middle East and North Africa (SLMENA), Cairo, EgyptJacob GeorgeStorr Liver Centre, Westmead Institute for Medical Research, Westmead Hospital, University of Sydney, Sydney, NSW, AustraliaMark MuthiahDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeOmar GhanemDepartment of Surgery, Mayo Clinic, Rochester, MN, USAMasato YonedaDepartment of Gastroenterology and Hepatology, Yokohama City University Graduate School of Medicine, Yokohama, JapanDao Viet HangInternal Medicine Faculty, Hanoi Medical University, Hanoi, VietnamGiada SebastianiDivision of Gastroenterology & Hepatology, McGill University Health Centre, Montreal, QC, CanadaGeorge Papatheodoridis1st Department of Gastroenterology, Medical School of National and Kapodistrian University of Athens, General Hospital of Athens "Laiko", Athens, GreeceAdam Abu-AbeidDivision of Surgery, Tel Aviv Sourasky Medical Center affiliated to Tel Aviv University, Tel Aviv, IsraelAndrew G. RobertsonDepartment of Bariatric and Upper GI Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UKS D KimDepartment of Surgery, Soonchunhyang University Seoul Hospital, Seoul, KoreaRudolf WeinerSana Klinikum Offenbach, Clinic for Surgery of Obesity and Metabolic Disorders, Starkenburgring 66, Offenbach am Main, GermanyKamal MahawarDepartment of Surgery, South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UKAsim ShabbirDepartment of Surgery, National University Hospital, Singapore, SingaporeMohammad KermansaraviDepartment of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, IranReynu RajanUpper Gastrointestinal Surgery, Avisena Specialist Hospital, Shah Alam, MalaysiaYosuke SekiWeight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, JapanHalit Eren TaşkınDepartment of General Surgery, Bariatric Surgery Center, İstanbul University Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, TurkeyScott ShikoraCenter for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USAEdward OliverosInstitute of Surgery, St. Luke's Medical Center, Manila, PhilippinesChetan ParmarDepartment of Surgery, Whittington Health NHS Trust, London, UK; University College London, London, UKQiuye ChengDepartment of Upper Gastrointestinal Surgery, St George Private Hospital, Sydney, NSW, AustraliaOmar ThaherDepartment of Surgery, Knappschaft Kliniken University Hospital Bochum, Ruhr-University Bochum, Bochum, GermanyElena Ruiz‐ÚcarDepartment of Metabolic, Bariatric and Endocrine Surgery, Fuenlabrada University Hospital, Madrid, SpainRodolfo OviedoDepartment of Surgery, Nacogdoches Medical Center, Nacogdoches, TX, USA; University of Houston Tilman J. Fertitta Family College of Medicine, Houston, TX, USA; Sam Houston State University College of Osteopathic Medicine, Conroe, TX, USARui RibeiroCentro Multidisciplinar De Tratamento da Obesidade, Hospital Lusíadas Amadora E Lisbon, Amadora, PortugalMario MusellaAdvanced Biomedical Sciences Department, Federico II University, Naples, ItalyAlmino C. RamosSeung-wan RyuKeimyung University Dongsan Medical Centre, Daegu, Republic of KoreaTamer AbdelbakiGeneral Surgery, Alexandria University Faculty of Medicine, Alexandria, EgyptWEI JEI LEEMedical Weight Loss Center, China Medical University Shinchu Hospital, Zhubei City, Taiwan, ChinaMan Pan ChanJose Eduardo Garcia FloresBariatric and Metabolic Surgery, Christus Mugerza Alta Especialidad/UDEM, Monterrey, Nuevo Leon, MexicoJames SkinovskySurgery, HTC High Tech Surgery Association, São Vicente University Hospital, Curitiba, BrazilAhmad MadkhaliDepartment of Surgery, King Saud University Medical City, Riyadh, Saudi ArabiaSylvia WeinerMetabolic Unit, Schiffer Campus, University of Frankfurt, Schulstr. 31, 60594 Frankfurt, GermanyFrank TackeDepartment of Gastroenterology and Hepatology, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum (CVK) and Campus Charité Mitte (CCM), Berlin, GermanyWah YangDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China. Electronic address: [email protected]J NeubergerLiver Unit, Queen Elizabeth Hospital, Birmingham, UK. Electronic address: [email protected]Ming‐Hua ZhengMAFLD Research Center, Department of Hepatology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China; Cixi Biomedical Research Institute, Wenzhou Medical University, Wenzhou, China; Institute of Hepatology, Wenzhou Medical University, Wenzhou, China; Key Laboratory of Diagnosis and Treatment for the Development of Chronic Liver Disease in Zhejiang Province, Wenzhou, China. Electronic address: [email protected]
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Annotatsiya
Laparoscopic liver biopsy (LLB) provides a way to obtain liver tissue samples under direct visual inspection of the liver surface. It complements percutaneous liver biopsy (PLB) for complex or high-risk cases where PLB cannot be performed. Clinical practices for LLB vary across centers due to the lack of international standards. To improve the procedural quality and diagnostic efficiency of LLB, a multidisciplinary panel of 45 international experts from 6 continents, including hepatology, hepatobiliary surgery, gastrointestinal surgery, and metabolic and bariatric surgery, developed this consensus statement through three rounds of a modified Delphi process. This consensus covers clinical application scenarios, high-risk clinical scenarios, preoperative preparation, surgical procedures, complication management, and discharge and quality management. It aims to promote the standardization, safety, and rational clinical application of LLB; support the management of complex cases; and facilitate the appropriate implementation of this important diagnostic procedure.
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