@article{356c169a7ba441e09efa7e7457ad16ab,
title = "A snapshot of the 2020 conception of anatomic liver resections and their applicability on minimally invasive liver surgery. A preparatory survey for the Expert Consensus Meeting on Precision Anatomy for Minimally Invasive HBP Surgery",
abstract = "Background: The main aim of this survey was to analyze how liver surgeons perform liver resections and to define their conception of anatomic procedures within the incorporation of minimally invasive liver surgery (MILS). Methods: The survey was distributed among liver surgeons. It mainly focused on personal experience on open and MILS, methods and landmarks, and experience on anatomic resections and Glissonean approach. Results: A total of 445 valid answers from 54 countries was obtained. Surgeons performing MILS mainly have below 10 years of experience (81.8% of responders) and one third has never done complex MILS. New techniques, including indocyanine green demarcation are marginally used (<25%). More than 60% of surgeons do not make a full exposure of hepatic veins during MILS, mainly due to the risk of injury or not considering it to be of utility. Although 88% of responders agreed with the concept of anatomic resection as the “resection along the border/watersheds of each order division identified by the portal vein flow”, only 55% of surgeons have ever performed MILS Glissonean approaches. Conclusions: Liver anatomy is not a static concept. Anatomic resections need training and precision. Standardization of complex anatomic resections by a minimally invasive approach should be encouraged.",
author = "{Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)} and Ruben Ciria and Giammauro Berardi and Hitoe Nishino and Chan, {Albert C.Y.} and Rawisak Chanwat and Chen, {Kuo Hsin} and Yajin Chen and Cheung, {Tan To} and David Fuks and Geller, {David A.} and Yukio Iwashita and Rong Liu and Santiago L{\'o}pez-Ben and Masakazu Yamamoto and Go Wakabayashi and Yuta Abe and {Abu Hilal}, Mohammed and Takeshi Aoki and Asbun, {Horacio J.} and Daniel Cherqui and Naoto Gotohda and Han, {Ho Seong} and Kiyoshi Hasegawa and Etsuro Hatano and Goro Honda and Osamu Itano and Yutaro Kato and Hironori Kaneko and Kim, {Ji Hoon} and Kazuteru Monden and Mamoru Morimoto and Fernando Rotellar and Yoshihiro Sakamoto and Atsushi Sugioka and Minoru Tanabe and Tomoharu Yoshizumi and Keiichi Akahoshi and Shunichi Ariizumi and {Benedetti Cacciaguerra}, Andrea and Manuel Duran and {Alconchel Gago}, Felipe and Nicolas Golse and Yoshihiro Miyasaka and Yasuhisa Mori and Satoshi Ogiso and Chikara Shirata and Federico Tomassini and Takeshi Urade and {Garc{\'i}a V{\'a}zquez}, Alain and Taiga Wakabayashi",
note = "Funding Information: This survey was performed in preparation for Expert Consensus Meeting: PAM-HBP surgery, was held during the 32nd annual meeting of JSHBPS in Tokyo on 23 February 2021. The survey was conducted and analyzed by Ruben Ciria, Giammauro Berardi, Hitoe Nishino, and Go Wakabayashi. The draft of the manuscript was discussed by all authors, and all authors approved the final manuscript. The authors are indebtedly grateful to Prof. Mohammed Abu Hilal (Fondazione Poliambulanza Istituto Ospedaliero Multispecialistico, Brescia, Italy) for his contribution to the diffusion of the survey by IHPBA. The authors are indebtedly grateful to Prof. Miguel {\'A}ngel G{\'o}mez Bravo (Hospital Universitario V{\'i}rgen del Roc{\'i}o, Seville-Spain) and Prof. Jos{\'e} Manuel Ramia (Hospital Universitario de Guadalajara-Spain) for their contribution to the diffusion of the survey by AEC (Asociaci{\'o}n Espa{\~n}ola de Cirujanos) and Spanish Chapter of IHPBA. Publisher Copyright: {\textcopyright} 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery",
year = "2022",
month = jan,
doi = "10.1002/jhbp.959",
language = "English",
volume = "29",
pages = "41--50",
journal = "Journal of Hepato-Biliary-Pancreatic Sciences",
issn = "1868-6974",
publisher = "Springer Verlag",
number = "1",
}