• Daniel Cherqui, Ruben Ciria, Kwon Choon Hyuck David CHD Department of General Surgery, Digestive Disease & Surgery Institute, Lerner College of Medicine, Cleveland Clinic, Cleveland, Ohio. , Ki-Hun Kim, Dieter Broering, Go Wakabayashi, Benjamin Samstein, Roberto I Troisi, Ho Seong Han, Fernando Rotellar, Olivier Soubrane, Javier Briceño, Felipe Alconchel, María Dolores Ayllón, Giammauro Berardi, Francois Cauchy, Irene Gómez Luque, Suk Kyun Hong, Young-Yin Yoon, Hiroto Egawa, Jan Lerut, Chung-Mau Lo, Mohamed Rela, Gonzalo Sapisochin, and Kyung-Suk Suh.
• AP-HP, Hepatobiliary Center, Paul Brousse Hospital, Université Paris Saclay, Villejuif, France.
• Ann. Surg. 2021 Jan 1; 273 (1): 96-108.

ObjectiveThe Expert Consensus Guidelines initiative on MIDH for LDLT was organized with the goal of safe implementation and development of these complex techniques with donor safety as the main priority.BackgroundFollowing the development of minimally invasive liver surgery, techniques of MIDH were developed with the aim of reducing the short- and long-term consequences of the procedure on liver donors. These techniques, although increasingly performed, lack clinical guidelines.MethodsA group of 12 international MIDH experts, 1 research coordinator, and 8 junior faculty was assembled. Comprehensive literature search was made and studies classified using the SIGN method. Based on literature review and experts opinions, tentative recommendations were made by experts subgroups and submitted to the whole experts group using on-line Delphi Rounds with the goal of obtaining >90% Consensus. Pre-conference meeting formulated final recommendations that were presented during the plenary conference held in Seoul on September 7, 2019 in front of a Validation Committee composed of LDLT experts not practicing MIDH and an international audience.ResultsEighteen Clinical Questions were addressed resulting in 44 recommendations. All recommendations reached at least a 90% consensus among experts and were afterward endorsed by the validation committee.ConclusionsThe Expert Consensus on MIDH has produced a set of clinical guidelines based on available evidence and clinical expertise. These guidelines are presented for a safe implementation and development of MIDH in LDLT Centers with the goal of optimizing donor safety, donor care, and recipient outcomes.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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