TY - JOUR
T1 - Landmarks to identify segmental borders of the liver
T2 - A review prepared for PAM-HBP expert consensus meeting 2021
AU - Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
AU - Wakabayashi, Taiga
AU - Benedetti Cacciaguerra, Andrea
AU - Ciria, Ruben
AU - Ariizumi, Shunichi
AU - Durán, Manuel
AU - Golse, Nicolas
AU - Ogiso, Satoshi
AU - Abe, Yuta
AU - Aoki, Takeshi
AU - Hatano, Etsuro
AU - Itano, Osamu
AU - Sakamoto, Yoshihiro
AU - Yoshizumi, Tomoharu
AU - Yamamoto, Masakazu
AU - Wakabayashi, Go
AU - Hilal, Mohammed Abu
AU - Berardi, Giammauro
AU - Chan, Albert
AU - Chen, Kuo Hsin
AU - Chen, Yajin
AU - Cherqui, Daniel
AU - Cheung, Tan To
AU - Fuks, David
AU - Geller, David A.
AU - Hasegawa, Kiyoshi
AU - López-Ben, Santiago
AU - Kaneko, Hironori
AU - Asbun, Horacio J.
AU - Chanwat, Rawisak
AU - Gotohda, Naoto
AU - Han, Ho Seong
AU - Honda, Goro
AU - Iwashita, Yukio
AU - Kato, Yutaro
AU - Kim, Ji Hoon
AU - Liu, Rong
AU - Monden, Kazuteru
AU - Morimoto, Mamoru
AU - Rotellar, Fernando
AU - Sugioka, Atsushi
AU - Tanabe, Minoru
AU - Akahoshi, Keiichi
AU - Alconchel Gago, Felipe
AU - Miyasaka, Yoshihiro
AU - Mori, Yasuhisa
AU - Nishino, Hitoe
AU - Shirata, Chikara
AU - Tomassini, Federico
AU - Urade, Takeshi
AU - García Vázquez, Alain
N1 - Funding Information:
This review was performed in preparation for “Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery; Expert Consensus Meeting”, which will be held during the 32nd annual meeting of Japanese Society of Hepato-Biliary-Pancreatic Surgery in Tokyo on 23 February 2021. The literature was searched and reviewed by TW, ABC, RC, SA, MD, NG, and SO. TW and ABC wrote the draft of the manuscript. YA, TA, EH, YS, and GW critically edited it. The draft of the manuscript was discussed by all authors, and all authors approved the final manuscript.
Publisher Copyright:
© 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery
PY - 2022/1
Y1 - 2022/1
N2 - Background: In preparation for the upcoming consensus meeting in Tokyo in 2021, this systematic review aimed to analyze the current available evidence regarding surgical anatomy of the liver, focusing on useful landmarks, strategies and technical tools to perform precise anatomic liver resection (ALR). Methods: A systematic review was conducted on MEDLINE/PubMed for English articles and on Ichushi database for Japanese articles until September 2020. The quality assessment of the articles was performed in accordance with the Scottish Intercollegiate Guidelines Network (SIGN). Results: A total of 3169 manuscripts were obtained, 1993 in English and 1176 in Japanese literature. Subsequently, 63 English and 20 Japanese articles were selected and reviewed. The quality assessment of comparative series and case series was revealed to be usually low; only six articles were qualified as high quality. Forty-two articles focused on analyzing intersegmental/sectional planes and their relationship with specific hepatic landmark veins. In 12 articles, the authors aimed to investigate liver surface anatomic structures, while 36 articles aimed to study technological tools and contrast agents for surgical segmentation during ALR. Although Couinaud's classification has remained the cornerstone in daily diagnostic/surgical practices, it does not always portray the realistic liver segmentation and there has been no standardization on which a single strategy should be followed to perform precise ALR. Conclusions: A global consensus should be pursued in order to establish clear guidelines and proper recommendations to perform ALR in the era of minimally invasive surgery.
AB - Background: In preparation for the upcoming consensus meeting in Tokyo in 2021, this systematic review aimed to analyze the current available evidence regarding surgical anatomy of the liver, focusing on useful landmarks, strategies and technical tools to perform precise anatomic liver resection (ALR). Methods: A systematic review was conducted on MEDLINE/PubMed for English articles and on Ichushi database for Japanese articles until September 2020. The quality assessment of the articles was performed in accordance with the Scottish Intercollegiate Guidelines Network (SIGN). Results: A total of 3169 manuscripts were obtained, 1993 in English and 1176 in Japanese literature. Subsequently, 63 English and 20 Japanese articles were selected and reviewed. The quality assessment of comparative series and case series was revealed to be usually low; only six articles were qualified as high quality. Forty-two articles focused on analyzing intersegmental/sectional planes and their relationship with specific hepatic landmark veins. In 12 articles, the authors aimed to investigate liver surface anatomic structures, while 36 articles aimed to study technological tools and contrast agents for surgical segmentation during ALR. Although Couinaud's classification has remained the cornerstone in daily diagnostic/surgical practices, it does not always portray the realistic liver segmentation and there has been no standardization on which a single strategy should be followed to perform precise ALR. Conclusions: A global consensus should be pursued in order to establish clear guidelines and proper recommendations to perform ALR in the era of minimally invasive surgery.
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U2 - 10.1002/jhbp.899
DO - 10.1002/jhbp.899
M3 - Review article
C2 - 33484112
AN - SCOPUS:85100474039
SN - 1868-6974
VL - 29
SP - 82
EP - 98
JO - Journal of Hepato-Biliary-Pancreatic Sciences
JF - Journal of Hepato-Biliary-Pancreatic Sciences
IS - 1
ER -