Landmarks and techniques to perform minimally invasive liver surgery: A systematic review with a focus on hepatic outflow

Autor: Rawisak Chanwat, Yoshihiro Miyasaka, Ho-Seong Han, Goro Honda, Osamu Itano, Satoshi Ogiso, Yukio Iwashita, Itaru Endo, Ruben Ciria, Giammauro Berardi, Yoshihiro Sakamoto, Felipe Alconchel, Kuo-Hsin Chen, Atsushi Sugioka, Mohammed Abu Hilal, Kiyoshi Hasegawa, Fernando Rotellar, Kazuteru Monden, Santiago López‐Ben, Alain Garcia Vazquez, David A. Geller, Etsuro Hatano, Tomoharu Yoshizumi, Federico Tomassini, Takeshi Aoki, Yutaro Kato, Hironori Kaneko, Shunichi Ariizumi, Takeshi Urade, Hitoe Nishino, Yasuhisa Mori, Rong Liu, Masakazu Yamamoto, Manuel Durán, Chikara Shirata, Minoru Tanabe, Keiichi Akahoshi, Horacio J. Asbun, Ji Hoon Kim, Taiga Wakabayashi, Go Wakabayashi, David Fuks, Yuta Abe, Daniel Cherqui, Yajin Chen, Nicolas Golse, Albert C. Y. Chan, Mamoru Morimoto, Andrea Benedetti Cacciaguerra, Naoto Gotohda, Akihiko Tsuchida, Tan To Cheung
Rok vydání: 2021
Předmět:
Zdroj: Journal of Hepato-Biliary-Pancreatic Sciences. 29:66-81
ISSN: 1868-6982
1868-6974
DOI: 10.1002/jhbp.898
Popis: 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 3,372 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.
Databáze: OpenAIRE
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