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. (21st April 2021)

• Record Type: Journal Article
• Authors: Ciria, Ruben; Berardi, Giammauro; Nishino, Hitoe; Chan, Albert C.Y.; Chanwat, Rawisak; Chen, Kuo‐Hsin; Chen, Yajin; Cheung, Tan To; Fuks, David; Geller, David A.; Iwashita, Yukio; Liu, Rong; López‐Ben, Santiago; Yamamoto, Masakazu; Wakabayashi, Go
• Other Names: Abe Yuta investigator.; Abu Hilal Mohammed investigator.; Aoki Takeshi investigator.; Asbun Horacio J investigator.; Cherqui Daniel investigator.; Gotohda Naoto investigator.; Han Ho‐Seong investigator.; Hasegawa Kiyoshi investigator.; Hatano Etsuro investigator.; Honda Goro investigator.; Itano Osamu investigator.; Kato Yutaro investigator.; Kaneko Hironori investigator.; Kim Ji Hoon investigator.; Monden Kazuteru investigator.; Morimoto Mamoru investigator.; Rotellar Fernando investigator.; Sakamoto Yoshihiro investigator.; Sugioka Atsushi investigator.; Tanabe Minoru investigator.; Yoshizumi Tomoharu investigator.; Akahoshi Keiichi investigator.; Ariizumi Shunichi investigator.; Benedetti Cacciaguerra Andrea investigator.; Duran Manuel investigator.; Alconchel Gago Felipe investigator.; Golse Nicolas investigator.; Miyasaka Yoshihiro investigator.; Mori Yasuhisa investigator.; Ogiso Satoshi investigator.; Shirata Chikara investigator.; Tomassini Federico investigator.; Urade Takeshi investigator.; García Vázquez Alain investigator.; Wakabayashi Taiga investigator.; Endo Itaru investigator.; Tsuchida Akihiko investigator.;
• Is Part Of: Journal of hepato-biliary-pancreatic sciences. Volume 29:Number 1(2022)
• Page Start: 41
• Page End: 50
• Publication Date: 2021-04-21
• Subjects: anatomic landmark -- anatomic liver resection -- laparoscopic liver resection -- liver anatomy -- minimally invasive liver surgery; Liver -- Diseases -- Periodicals; Biliary tract -- Diseases -- Periodicals; Pancreas -- Diseases -- Periodicals; 617.556
• DOI: 10.1002/jhbp.959
• Languages: English
• ISSNs: 1868-6974

Abstract

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. Abstract : Highlight Ciria and colleagues conducted a survey to analyze how liver surgeons perform liver resections and to define their conception of anatomic procedures related to minimally invasive liver surgery (MILS). A total of 445 valid answers from 54 countries offer a snapshot of how liver surgery is performed around the world.