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Ten years of Italian mini-invasiveness: the I Go MILS registry as a tool of dissemination, characterization and networking

Purposes of this study are to evaluate the main changes that have occurred in the Italian MILS activity in the last decade in terms of indications, approaches and outcomes as reported in the national registry and to provide specific details on the main areas of development of MILS. Data from patient...

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Published in:Updates in surgery 2023-09, Vol.75 (6), p.1457-1469
Main Authors: Ratti, Francesca, Ferrero, Alessandro, Guglielmi, Alfredo, Cillo, Umberto, Giuliante, Felice, Mazzaferro, Vincenzo, De Carlis, Luciano, Ettorre, Giuseppe Maria, Gruttadauria, Salvatore, Di Benedetto, Fabrizio, Ercolani, Giorgio, Valle, Raffaele Dalla, Belli, Andrea, Jovine, Elio, Ravaioli, Matteo, Aldrighetti, Luca
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Language:English
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Summary:Purposes of this study are to evaluate the main changes that have occurred in the Italian MILS activity in the last decade in terms of indications, approaches and outcomes as reported in the national registry and to provide specific details on the main areas of development of MILS. Data from patients undergoing minimally invasive liver resections at centers included in the I Go MILS Registry from its start-up (November 2014) to March 2023 were analyzed for the purposes of this study. The registry is intention-to-treat and prospective. Global recruitment trends stratified by indication to surgery and type of approach were analysed. 7413 MILS procedures were performed across all centers (median number of procedures per center: 63). Years (2020–2023) displayed a significantly higher proportion of treated patients diagnosed with hepatocellular carcinoma (HCC) (38.2% vs. 28.9% and 33.9%, p  
ISSN:2038-131X
2038-3312
DOI:10.1007/s13304-023-01597-2