アリイズミ シユンイチ   ARIIZUMI Shunichi
  有泉 俊一
   所属   医学部 医学科(東京女子医科大学病院)
   職種   准教授
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Right anatomical hepatectomy: pioneers, evolution, and the future.
掲載誌名 正式名:Surgery today
略  称:Surg Today
ISSNコード:14362813/09411291
巻・号・頁 50(2),pp.97-105
著者・共著者 Nanashima Atsushi, Ariizumi Shun-Ichi, Yamamoto Masakazu
担当区分 2nd著者
発行年月 2020/02
概要 To identify the pioneers of right anatomical hepatectomy (RAH), and clarify the development of associated operative procedures, concepts, and the future, we reviewed the "hidden" literature published in Eastern and Western countries since the 1940s. We searched the English and non-English literature on RAH through web search engines, text books and documents, and also referred to experts' comments. Non-English literature, other than in Japanese, was translated. Changes in the anatomical concept, anatomical identification, vascular control technique, approaches, pre-operative management, and other aspects of RAH were analyzed. Honjo and Lortat-Jacob, in 1949 and 1951, respectively, reported the first cases of successful RAH; since then, RAH has been used in the treatment of liver malignancies worldwide. Vascular in-flow control is divided into intrafascial, extrafascial or transfissual access. The anatomical border along the main hepatic veins was proposed for transection, and anterior approaches have been suggested as alternative options in the hazardous situation of right liver rotation. In the laparoscopic era, several procedures and positions have been devised for RAH. In summary, RAH and related anatomical hepatectomy have been established as treatment methods for 70 years, and the future of RAH includes new concepts, approaches, and techniques to optimize patient safety and disease curability.
DOI 10.1007/s00595-019-01809-6
PMID 30982087