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Article: 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

TitleA 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
Authors
Keywordsanatomic landmark
anatomic liver resection
laparoscopic liver resection
liver anatomy
minimally invasive liver surgery
Issue Date2021
PublisherWiley. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1868-6982
Citation
Journal of Hepato-Biliary-Pancreatic Sciences, 2021, Epub 2021-03-31 How to Cite?
AbstractBackground: 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.
Persistent Identifierhttp://hdl.handle.net/10722/305050
ISSN
2020 Impact Factor: 7.027
2020 SCImago Journal Rankings: 1.630
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCiria, R-
dc.contributor.authorBerardi, G-
dc.contributor.authorNishino, H-
dc.contributor.authorChan, ACY-
dc.contributor.authorChanwat, R-
dc.contributor.authorChen, KH-
dc.contributor.authorChen, Y-
dc.contributor.authorCheung, TT-
dc.contributor.authorFuks, D-
dc.contributor.authorGeller, DA-
dc.contributor.authorIwashita, Y-
dc.contributor.authorLiu, R-
dc.contributor.authorLópez-Ben, S-
dc.contributor.authorYamamoto, M-
dc.contributor.authorWakabayashi, G-
dc.date.accessioned2021-10-05T02:39:01Z-
dc.date.available2021-10-05T02:39:01Z-
dc.date.issued2021-
dc.identifier.citationJournal of Hepato-Biliary-Pancreatic Sciences, 2021, Epub 2021-03-31-
dc.identifier.issn1868-6974-
dc.identifier.urihttp://hdl.handle.net/10722/305050-
dc.description.abstractBackground: 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.-
dc.languageeng-
dc.publisherWiley. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1868-6982-
dc.relation.ispartofJournal of Hepato-Biliary-Pancreatic Sciences-
dc.rightsSubmitted (preprint) Version This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Accepted (peer-reviewed) Version This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectanatomic landmark-
dc.subjectanatomic liver resection-
dc.subjectlaparoscopic liver resection-
dc.subjectliver anatomy-
dc.subjectminimally invasive liver surgery-
dc.titleA 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-
dc.typeArticle-
dc.identifier.emailChan, ACY: acchan@hku.hk-
dc.identifier.emailCheung, TT: cheung68@hku.hk-
dc.identifier.authorityChan, ACY=rp00310-
dc.identifier.authorityCheung, TT=rp02129-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/jhbp.959-
dc.identifier.pmid33787072-
dc.identifier.scopuseid_2-s2.0-85104589608-
dc.identifier.hkuros326220-
dc.identifier.volumeEpub 2021-03-31-
dc.identifier.isiWOS:000641857900001-
dc.publisher.placeJapan-

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