ホンダ　ゴロウ   HONDA Gorou   本田　五郎    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	総説
言語種別	英語
査読の有無	査読なし
表題	Landmarks and techniques to perform minimally invasive liver surgery: A systematic review with a focus on hepatic outflow.
掲載誌名	正式名：Journal of hepato-biliary-pancreatic sciences 略　 称：J Hepatobiliary Pancreat Sci ISSNコード：18686982/18686974
掲載区分	国外
巻・号・頁	29(1),pp.66-81
著者・共著者	Monden Kazuteru, Alconchel Felipe, Berardi Giammauro, Ciria Ruben, Akahoshi Keiichi, Miyasaka Yoshihiro, Urade Takeshi, García Vázquez Alain, Hasegawa Kiyoshi, Honda Goro, Kaneko Hironori, Hoon Kim Ji, Tanabe Minoru, Yamamoto Masakazu, Wakabayashi Go,
発行年月	2022/01
概要	PURPOSE:In this systematic review, we aimed to clarify the useful anatomic structures and assess available surgical techniques and strategies required to safely perform minimally invasive anatomic liver resection (MIALR), with a particular focus on the hepatic veins (HVs).METHODS:A systematic review was conducted using MEDLINE/PubMed for English articles and Ichushi databases for Japanese articles through September 2020. The quality assessment of the articles was performed in accordance with the Scottish Intercollegiate Guidelines Network (SIGN).RESULTS:A total of 3372 studies were obtained, and 59 were selected and reviewed. Due to the limited number of published comparative studies and case series, the degree of evidence from our review was low. Thirty-two articles examined the anatomic landmarks and crucial structures for approaching HVs. Regarding the direction of HV exposure, 32 articles focused on the techniques and advantages of exposing HVs from either the root or the periphery. Ten articles focused on the techniques to perform a segmentectomy 8 in particularly difficult cases of MIALR. In seven articles, bleeding control from HVs was also discussed.CONCLUSIONS:This review may help experts reach a consensus regarding the best approach to the management of hepatic veins during MIALR.
DOI	10.1002/jhbp.898
PMID	33475254