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HIGUCHI Ryota
Department School of Medicine(Yachiyo Medical Center), School of Medicine Position Assistant Professor |
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| Article types | Original article |
| Language | English |
| Peer review | Non peer reviewed |
| Title | International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project. |
| Journal | Formal name：Journal of hepato-biliary-pancreatic sciences Abbreviation：J Hepatobiliary Pancreat Sci ISSN code：18686982/18686974 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 29(1),pp.124-135 |
| Author and coauthor | Nagakawa Yuichi, Nakata Kohei, Nishino Hitoe, Ohtsuka Takao, Ban Daisuke, Asbun Horacio J, Boggi Ugo, He Jin, Kendrick Michael L, Palanivelu Chinnusamy, Liu Rong, Wang Shin-E, Tang Chung-Ngai, Takaori Kyoichi, Abu Hilal Mohammed, Goh Brian K P, Honda Goro, Jang Jin-Young, Kang Chang Moo, Kooby David A, Nakamura Yoshiharu, Shrikhande Shailesh V, Wolfgang Christopher L, Yiengpruksawan Anusak, Yoon Yoo-Seok, Watanabe Yusuke, Kozono Shingo, Ciria Ruben, Berardi Giammauro, Garbarino Giovanni Maria, Higuchi Ryota, Ikenaga Naoki, Ishikawa Yoshiya, Maekawa Aya, Murase Yoshiki, Zimmitti Giuseppe, Kunzler Filipe, Wang Zi-Zheng, Sakuma Leon, Takishita Chie, Osakabe Hiroaki, Endo Itaru, Tanaka Masao, Yamaue Hiroki, Tanabe Minoru, Wakabayashi Go, Tsuchida Akihiko, Nakamura Masafumi |
| Publication date | 2022/01 |
| Summary | BACKGROUND:The anatomical structure around the pancreatic head is very complex and it is important to understand its precise anatomy and corresponding anatomical approach to safely perform minimally invasive pancreatoduodenectomy (MIPD). This consensus statement aimed to develop recommendations for elucidating the anatomy and surgical approaches to MIPD.METHODS:Studies identified via a comprehensive literature search were classified using the Scottish Intercollegiate Guidelines Network method. Delphi voting was conducted after experts had drafted recommendations, with a goal of obtaining >75% consensus. Experts discussed the revised recommendations with the validation committee and an international audience of 384 attendees. Finalized recommendations were made after a second round of online Delphi voting.RESULTS:Three clinical questions were addressed, providing six recommendations. All recommendations reached at least a consensus of 75%. Preoperatively evaluating the presence of anatomical variations and superior mesenteric artery (SMA) and superior mesenteric vein (SMV) branching patterns was recommended. Moreover, it was recommended to fully understand the anatomical approach to SMA and intraoperatively confirm the SMA course based on each anatomical landmark before initiating dissection.CONCLUSIONS:MIPD experts suggest that surgical trainees perform resection based on precise anatomical landmarks for safe and reliable MIPD. |
| DOI | 10.1002/jhbp.1081 |
| PMID | 34783176 |