ARIIZUMI Shunichi
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Associate Professor
Article types Original article
Language English
Peer review Non peer reviewed
Title Minimally invasive anatomic liver resection: Results of a survey of world experts.
Journal Formal name:Journal of hepato-biliary-pancreatic sciences
Abbreviation:J Hepatobiliary Pancreat Sci
ISSN code:18686982/18686974
Domestic / ForeginDomestic
Volume, Issue, Page 29(1),pp.33-40
Author and coauthor Morimoto Mamoru, Monden Kazuteru, Wakabayashi Taiga, Gotohda Naoto, Abe Yuta, Honda Goro, Abu Hilal Mohammed, Aoki Takeshi, Asbun Horacio J, Berardi Giammauro, Chan Albert C Y, Chanwat Rawisak, Chen Kuo-Hsin, Chen Yajin, Cherqui Daniel, Cheung Tan To, Ciria Ruben, Fuks David, Geller David A, Han Ho-Seong, Hasegawa Kiyoshi, Hatano Etsuro, Itano Osamu, Iwashita Yukio, Kaneko Hironori, Kato Yutaro, Kim Ji Hoon, Liu Rong, López-Ben Santiago, Rotellar Fernando, Sakamoto Yoshihiro, Sugioka Atsushi, Yoshizumi Tomoharu, Akahoshi Keiichi, Alconchel Felipe, Ariizumi Shunichi, Benedetti Cacciaguerra Andrea, Durán Manuel, García Vázquez Alain, Golse Nicolas, Miyasaka Yoshihiro, Mori Yasuhisa, Ogiso Satoshi, Shirata Chikara, Tomassini Federico, Urade Takeshi, Nishino Hitoe, Kunzler Filipe, Kozono Shingo, Osakabe Hiroaki, Takishita Chie, Ban Daisuke, Hibi Taizo, Kokudo Norihiro, Ohtsuka Masayuki, Nagakawa Yuichi, Ohtsuka Takao, Tanabe Minoru, et al.
Publication date 2022/01
Summary BACKGROUND:Although the number of minimally invasive liver resections (MILRs) has been steadily increasing in many institutions, minimally invasive anatomic liver resection (MIALR) remains a complicated procedure that has not been standardized. We present the results of a survey among expert liver surgeons as a benchmark for standardizing MIALR.METHOD:We administered this survey to 34 expert liver surgeons who routinely perform MIALR. The survey contained questions on personal experience with liver resection, inflow/outflow control methods, and identification techniques of intersegmental/sectional planes (IPs).RESULTS:All 34 participants completed the survey; 24 experts (70%) had more than 11 years of experience with MILR, and over 80% of experts had performed over 100 open resections and MILRs each. Regarding the methods used for laparoscopic or robotic anatomic resection, the Glissonean approach (GA) was a more frequent procedure than the hilar approach (HA). Although hepatic veins were considered essential landmarks, the exposure methods varied. The top three techniques that the experts recommended for identifying IPs were creating a demarcation line, indocyanine green negative staining method, and intraoperative ultrasound.CONCLUSION:Minimally invasive anatomic liver resection remains a challenging procedure; however, a certain degree of consensus exists among expert liver surgeons.
DOI 10.1002/jhbp.1094
PMID 34866343