Original Article


Validation of the Institute Mutualiste Montsouris (IMM) system for the stratification of robotic liver resections: an international multicenter study

Qu Liu, Hwee-Leong Tan, Nicholas L. Syn, Gabriela Pilz da Cunha, Moritz Schmelzle, Jason Hawksworth, Umberto Cillo, Atsushi Sugioka, Yutaro Kato, David Fuks, Olivier Soubrane, Paulo Herman, Yonggang Wei, Marco V. Marino, Roland S. Croner, Olivier Scatton, Adrian K. H. Chiow, Sung-Hoon Choi, Jae Hoon Lee, Marco Vivarelli, Federico Mocchegiani, Felice Giuliante, Andrea Ruzzenente, Mengqiu Yin, Paolo Magistri, Fabrizio Di Benedetto, David Geller, Andrea Belli, Riccardo Memeo, Kristin Goodsell, James O. Park, Victor Lopez-Lopez, Ricardo Robles-Campos, Robert P. Sutcliffe, Felix Krenzien, Alesandro Ferrero, Giuseppe Maria Ettorre, Junhao Zheng, Xiao Liang, Go Wakabayashi, Roberto I. Troisi, Tan-To Cheung, Ho-Seong Han, Bjorn Edwin, Kuo-Hsin Chen, Mohammad Abu Hilal, Luca Aldrighetti, Mikhail Efanov, Wanguang Zhang, Emanuele F. Kauffmann, Ugo Boggi, Raffaele Brustia, Mathieu D’Hondt, Xiaoying Wang, Alejandro Mejia, Gi-Hong Choi, Charing C. N. Chong, Rutger-Jan Swijnenburg, T. Peter Kingham, Johann Pratschke, Eric C. H. Lai, Chung-Ngai Tang, Iswanto Sucandy, Rong Liu, Brian K. P. Goh; International Robotic and Laparoscopic Liver Resection Study Group Investigators

Abstract

Although the Institut Mutualiste Montsouris (IMM) classification has been widely applied and validated for laparoscopic liver resections (LLRs), it has not been well-validated for robotic liver resections (RLR) in a large sample of patients. An international multicenter study to validate the IMM difficulty scoring system (DSS) across three complexity levels and 11 procedure types was conducted to address current limitations in studies validating the IMM DSS for RLR.

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