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ヒグチ リヨウタ
Higuchi Riyouta
樋口 亮太 所属 医学部 医学科（附属八千代医療センター） 職種 講師 |
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| 論文種別 | 総説 |
| 言語種別 | 英語 |
| 査読の有無 | 査読なし |
| 表題 | Precision anatomy for safe approach to pancreatoduodenectomy for both open and minimally invasive procedure: A systematic review. |
| 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.99-113 |
| 著者・共著者 | 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, |
| 発行年月 | 2022/01 |
| 概要 | 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. |
| DOI | 10.1002/jhbp.901 |
| PMID | 33533158 |