{
  "abstract": "Background Laparoscopic liver biopsy (LLB) is a critical complementary diagnostic modality for complex liver diseases, addressing unmet clinical needs when percutaneous/transjugular biopsy approaches are unfeasible. However, the lack of international standardized guidelines has led to highly heterogeneous clinical practices, limiting the safe and rational implementation of LLB. This study aimed to develop an international multidisciplinary consensus to standardize LLB clinical practice.Methods A panel of 45 multidisciplinary experts from 6 continents was recruited. A modified Delphi process with three rounds of anonymous survey was conducted, with a pre-defined consensus threshold of ≥78% expert agreement. All statements were thematically organized into 6 core domains of LLB practice.Results All 46 proposed statements achieved consensus, with 25/46 receiving unanimous (100%) agreement, 20/46 with 90–99% agreement, and 1/46 with 78–89% agreement. The consensus covered clinical application scenarios, high-risk patient management, preoperative preparation, surgical procedures, complication prevention, and discharge/quality management. The Delphi process flowchart in Figure 1 ( IDDF2026-ABS-0365 Figure 1. Flowchart of the Delphi procedure adopted for developing a consensus statement on LLB).Conclusions This international consensus provides a unified, evidence-based framework for LLB practice, which will significantly enhance procedural safety, diagnostic accuracy, and rational clinical implementation, supporting the appropriate use of LLB in complex liver disease diagnosis globally.Abstract IDDF2026-ABS-0365 Figure 1",
  "authors": [
    {
      "affiliations": [
        "The First Affiliated Hospital of Wenzhou Medical University, China"
      ],
      "name": "Siyi Lei"
    },
    {
      "affiliations": [
        "The First Affiliated Hospital of Wenzhou Medical University, China"
      ],
      "name": "Yu Han"
    },
    {
      "affiliations": [
        "Medical University of South Carolina, United States"
      ],
      "name": "Don C Rockey"
    },
    {
      "affiliations": [
        "King Saud University, Saudi Arabia"
      ],
      "name": "Khalid Alswat"
    },
    {
      "affiliations": [
        "The Chinese University of Hong Kong, China"
      ],
      "name": "Vincent Wai-Sun Wong"
    },
    {
      "affiliations": [
        "Tashkent State Medical University, Uzbekistan"
      ],
      "name": "Nozim Jumaev"
    },
    {
      "affiliations": [
        "Edith Cowan University, Australia"
      ],
      "name": "Carlos Jesus Toro-Huamanchumo"
    },
    {
      "affiliations": [
        "Mediclinic Airport Road Hospital, United Arab Emirates"
      ],
      "name": "Safwan Taha"
    },
    {
      "affiliations": [
        "Helwan University, Egypt"
      ],
      "name": "Mohamed El-Kassas"
    },
    {
      "affiliations": [
        "Westmead Hospital, University of Sydney, Australia"
      ],
      "name": "Jacob George"
    },
    {
      "affiliations": [
        "National University Hospital, Singapore"
      ],
      "name": "Mark Muthiah"
    },
    {
      "affiliations": [
        "Mayo Clinic, United States"
      ],
      "name": "Omar Ghanem"
    },
    {
      "affiliations": [
        "Yokohama City University Graduate School of Medicine, Japan"
      ],
      "name": "Masato Yoneda"
    },
    {
      "affiliations": [
        "Hanoi Medical University, Vietnam"
      ],
      "name": "Hang Dao Viet"
    },
    {
      "affiliations": [
        "McGill University Health Centre, Canada"
      ],
      "name": "Giada Sebastiani"
    },
    {
      "affiliations": [
        "General Hospital of Athens ‘Laiko’, Greece"
      ],
      "name": "George Papatheodoridis"
    },
    {
      "affiliations": [
        "General Hospital of Athens ‘Laiko’, Greece"
      ],
      "name": "Adam Abu-Abeid"
    },
    {
      "affiliations": [
        "University of Edinburgh, Royal Infirmary of Edinburgh, United Kingdom"
      ],
      "name": "AndrewG Robertson"
    },
    {
      "affiliations": [
        "Soonchunhyang University Seoul Hospital, Korea, South"
      ],
      "name": "Sang Hyun Kim"
    },
    {
      "affiliations": [
        "Clinic for Surgery of Obesity and Metabolic Disorders, Germany"
      ],
      "name": "Rudolf Weiner"
    },
    {
      "affiliations": [
        "South Tyneside and Sunderland NHS Foundation Trust, United Kingdom"
      ],
      "name": "Kamal Mahawar"
    },
    {
      "affiliations": [
        "National University Hospital, Singapore"
      ],
      "name": "Asim Shabbir"
    },
    {
      "affiliations": [
        "Iran University of Medical Sciences, Iran"
      ],
      "name": "Mohammad Kermansaravi"
    },
    {
      "affiliations": [
        "Avisena Specialist Hospital, Malaysia"
      ],
      "name": "Reynu Rajan"
    },
    {
      "affiliations": [
        "Yotsuya Medical Cube, Japan"
      ],
      "name": "Yosuke Seki"
    },
    {
      "affiliations": [
        "Cerrahpasa Faculty of Medicine, Turkey"
      ],
      "name": "Halit Eren Taskin"
    },
    {
      "affiliations": [
        "Harvard Medical School, United States"
      ],
      "name": "Scott Shikora"
    },
    {
      "affiliations": [
        "St. Luke’s Medical Center, Philippines"
      ],
      "name": "Edward Oliveros"
    },
    {
      "affiliations": [
        "University College London, United Kingdom"
      ],
      "name": "Chetan Parmar"
    },
    {
      "affiliations": [
        "St George Private Hospital, Australia"
      ],
      "name": "Qiuye Cheng"
    },
    {
      "affiliations": [
        "Knappschaft Kliniken University Hospital Bochum, Germany"
      ],
      "name": "Omar Thaher"
    },
    {
      "affiliations": [
        "Fuenlabrada University Hospital, Spain"
      ],
      "name": "Elena Ruiz-Úcar"
    },
    {
      "affiliations": [
        "Nacogdoches Medical Center, United States"
      ],
      "name": "Rodolfo Oviedo"
    },
    {
      "affiliations": [
        "Hospital Lusíadas Amadora E Lisbon, Portugal"
      ],
      "name": "Rui Ribeiro"
    },
    {
      "affiliations": [
        "Federico II University, Italy"
      ],
      "name": "Mario Musella"
    },
    {
      "affiliations": [
        "Institute for Metabolic Optimization, Brazil"
      ],
      "name": "Almino Ramos"
    },
    {
      "affiliations": [
        "Keimyung University Dongsan Medical Centre, Korea, South"
      ],
      "name": "Seung-wan Ryu"
    },
    {
      "affiliations": [
        "Alexandria University Faculty of Medicine, Egypt"
      ],
      "name": "Tamer Abdelbaki"
    },
    {
      "affiliations": [
        "China Medical University Shinchu Hospital, China"
      ],
      "name": "Wei-Jei Lee"
    },
    {
      "affiliations": [
        "Yan Chai Hospital, China"
      ],
      "name": "Man-Pan Chan"
    },
    {
      "affiliations": [
        "Christus Mugerza Alta Especialidad/UDEM, Mexico"
      ],
      "name": "Jose Eduardo Garcia Flores"
    },
    {
      "affiliations": [
        "São Vicente University Hospital, Brazil"
      ],
      "name": "James Skinovsky"
    },
    {
      "affiliations": [
        "King Saud University Medical City, Saudi Arabia"
      ],
      "name": "Ahmad Madkhali"
    },
    {
      "affiliations": [
        "University of Frankfurt, Germany"
      ],
      "name": "Sylvia Weiner"
    },
    {
      "affiliations": [
        "Campus Virchow-Klinikum (CVK) and Campus Charité Mitte (CCM), Germany"
      ],
      "name": "Frank Tacke"
    },
    {
      "affiliations": [
        "The First Affiliated Hospital of Jinan University, China"
      ],
      "name": "Wah Yang"
    },
    {
      "affiliations": [
        "Queen Elizabeth Hospital, United Kingdom"
      ],
      "name": "James Neuberger"
    },
    {
      "affiliations": [
        "The First Affiliated Hospital of Wenzhou Medical University, China"
      ],
      "name": "Ming-Hua Zheng"
    }
  ],
  "title": "IDDF2026-ABS-0365 An international multidisciplinary consensus statement on laparoscopic liver biopsy",
  "uid": "87bdfd0b-605a-5175-ac86-7bc6aee82aca"
}