Precision anatomy for safe approach to pancreatoduodenectomy for both open and minimally invasive procedure: A systematic review. (11th March 2021)

• Record Type: Journal Article
• Authors: Nakata, Kohei; Higuchi, Ryota; Ikenaga, Naoki; Sakuma, Leon; Ban, Daisuke; Nagakawa, Yuichi; Ohtsuka, Takao; Asbun, Horacio J.; Boggi, Ugo; Tang, Chung‐Ngai; Wolfgang, Christopher L.; Nishino, Hitoe; Endo, Itaru; Tsuchida, Akihiko; Nakamura, Masafumi
• Other Names: Hilal Mohammed Abu investigator.; Goh Brian K.P. investigator.; He Jin investigator.; Honda Goro investigator.; Jang Jin‐Young investigator.; Kang Chang Moo investigator.; Kendrick Michael L investigator.; Kooby David A investigator.; Liu Rong investigator.; Nakamura Yoshiharu investigator.; Palanivelu Chinnusamy investigator.; Shrikhande Shailesh V investigator.; Takaori Kyoichi investigator.; Wang Shin‐E investigator.; Yiengpruksawan Anusak investigator.; Yoon Yoo‐Seok investigator.; Berardi Giammauro investigator.; Kozono Shingo investigator.; Watanabe Yusuke investigator.; Garbarino Giovanni Maria investigator.; Ishikawa Yoshiya investigator.; Maekawa Aya investigator.; Murase Yoshiki investigator.; Zimmitti Giuseppe investigator.; Yamamoto Masakazu investigator.
• Is Part Of: Journal of hepato-biliary-pancreatic sciences. Volume 29:Number 1(2022)
• Page Start: 99
• Page End: 113
• Publication Date: 2021-03-11
• Subjects: anatomical variation -- minimally invasive pancreatoduodenectomy -- pancreatic resection -- pancreatoduodenectomy -- surgical anatomy; Liver -- Diseases -- Periodicals; Biliary tract -- Diseases -- Periodicals; Pancreas -- Diseases -- Periodicals; 617.556
• DOI: 10.1002/jhbp.901
• Languages: English
• ISSNs: 1868-6974

Abstract

Abstract: Background: Minimally invasive pancreatoduodenectomy (MIPD) has recently gained popularity. Several international meetings focusing on the existing literature on MIPD were held; however, the precise surgical anatomy of the pancreas for the safe use of MIPD has not yet been fully discussed. The aim of this study was to carry out a systematic review of available articles and to show the importance of identifying the anatomical variation in pancreatoduodenectomy. Methods: In this review, we described variations in surgical anatomy related to MIPD. A systematic search of PubMed (MEDLINE) was conducted, and the references were identified manually. Results: The search strategy yielded 272 articles, with 77 retained for analysis. The important anatomy to be considered during MIPD includes the aberrant right hepatic artery, first jejunal vein, first jejunal artery, and dorsal pancreatic artery. Celiac artery stenosis and a circumportal pancreas are also important to recognize. Conclusions: We conclude that only certain anatomical variations are associated directly with perioperative outcomes and that identification of these particular variations is important for safe performance of MIPD. Abstract : Highlight Nakata and colleagues conducted a systematic review of articles regarding precise surgical anatomy and its importance for pancreatoduodenectomy. They concluded that only certain variations in surgical anatomy are associated directly with perioperative outcomes, and that identification of these particular variations is important for the safe performance of minimally invasive pancreatoduodenectomy.