Landmarks to identify segmental borders of the liver: A review prepared for PAM‐HBP expert consensus meeting 2021. (3rd February 2021)

• Record Type: Journal Article
• Authors: Wakabayashi, Taiga; Benedetti Cacciaguerra, Andrea; Ciria, Ruben; Ariizumi, Shunichi; Durán, Manuel; Golse, Nicolas; Ogiso, Satoshi; Abe, Yuta; Aoki, Takeshi; Hatano, Etsuro; Itano, Osamu; Sakamoto, Yoshihiro; Yoshizumi, Tomoharu; Yamamoto, Masakazu; Wakabayashi, Go
• Other Names: Hilal Mohammed Abu investigator.; Berardi Giammauro investigator.; Chan Albert investigator.; Chen Kuo‐Hsin investigator.; Chen Yajin investigator.; Cherqui Daniel investigator.; Cheung Tan To investigator.; Fuks David investigator.; Geller David A investigator.; Hasegawa Kiyoshi investigator.; López‐Ben Santiago investigator.; Kaneko Hironori investigator.; Asbun Horacio J investigator.; Chanwat Rawisak investigator.; Gotohda Naoto investigator.; Han Ho‐Seong investigator.; Honda Goro investigator.; Iwashita Yukio investigator.; Kato Yutaro investigator.; Kim Ji Hoon investigator.; Liu Rong investigator.; Monden Kazuteru investigator.; Morimoto Mamoru investigator.; Rotellar Fernando investigator.; Sugioka Atsushi investigator.; Tanabe Minoru investigator.; Akahoshi Keiichi investigator.; Alconchel Gago Felipe investigator.; Miyasaka Yoshihiro investigator.; Mori Yasuhisa investigator.; Nishino Hitoe investigator.; Shirata Chikara investigator.; Tomassini Federico investigator.; Urade Takeshi investigator.; García Vázquez Alain investigator.; Endo Itaru investigator.; Tsuchida Akihiko investigator.;
• Is Part Of: Journal of hepato-biliary-pancreatic sciences. Volume 29:Number 1(2022)
• Page Start: 82
• Page End: 98
• Publication Date: 2021-02-03
• Subjects: liver anatomy -- anatomic resection -- segmentectomy -- sectionectomy; Liver -- Diseases -- Periodicals; Biliary tract -- Diseases -- Periodicals; Pancreas -- Diseases -- Periodicals; 617.556
• DOI: 10.1002/jhbp.899
• Languages: English
• ISSNs: 1868-6974

Abstract

Abstract: 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. Abstract : Highlight In preparation for the Expert Consensus Meeting: PAM‐HBP Surgery Project held in February 2021, Wakabayashi and colleagues conducted this systematic review with the aim 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.