biostudies-literatureHorsfall HLNational Institute for Health Research (NIHR)Wellcome Trust433-443https://www.ebi.ac.uk/biostudies/studies/S-EPMC10477015biostudies-literatureUnknown84(5)<b>Objective</b>  An operative workflow systematically compartmentalizes operations into hierarchal components of phases, steps, instrument, technique errors, and event errors. Operative workflow provides a foundation for education, training, and understanding of surgical variation. In this Part 2, we present a codified operative workflow for the translabyrinthine approach to vestibular schwannoma resection. <b>Methods</b>  A mixed-method consensus process of literature review, small-group Delphi's consensus, followed by a national Delphi's consensus was performed in collaboration with British Skull Base Society (BSBS). Each Delphi's round was repeated until data saturation and over 90% consensus was reached. <b>Results</b>  Seventeen consultant skull base surgeons (nine neurosurgeons and Journal of neurological surgery. Part B, Skull baseGenerating Operative Workflows for Vestibular Schwannoma Resection: A Two-Stage Delphi's Consensus in Collaboration with the British Skull Base Society. Part 2: The Translabyrinthine Approach.PMC10477015ACF-2021-18-009Leonard CPathmanaban OHampton STysome JRCooke SHardwidge CHorsfall HLKhalil SGrover PKitchen NTeo MKoh CHGurusinghe NRobertson IJAShapey JStoyanov DKing AIrving RFreeman SRKhan DZObholzer RMarcus HJMuirhead WSaeed SRCollins JfalseGenerating Operative Workflows for Vestibular Schwannoma Resection: A Two-Stage Delphi's Consensus in Collaboration with the British Skull Base Society. Part 2: The Translabyrinthine Approach.<b>Objective</b>  An operative workflow systematically compartmentalizes operations into hierarchal components of phases, steps, instrument, technique errors, and event errors. Operative workflow provides a foundation for education, training, and understanding of surgical variation. In this Part 2, we present a codified operative workflow for the translabyrinthine approach to vestibular schwannoma resection. <b>Methods</b>  A mixed-method consensus process of literature review, small-group Delphi's consensus, followed by a national Delphi's consensus was performed in collaboration with British Skull Base Society (BSBS). Each Delphi's round was repeated until data saturation and over 90% consensus was reached. <b>Results</b>  Seventeen consultant skull base surgeons (nine neurosurgeons and 2023-01-01T00:00:00Z2023 Oct2026-06-04T09:31:29.708Z2025-04-05T12:36:06.496ZS-EPMC104770153767129610.1055/s-0042-1755578