Minimally invasive anatomic liver resection: Results of a survey of world experts

Mamoru Morimoto; Kazuteru Monden; Taiga Wakabayashi; Naoto Gotohda; Yuta Abe; Goro Honda; Mohammed Abu Hilal; Takeshi Aoki; Horacio J. Asbun; Giammauro Berardi; Albert C.Y. Chan; Rawisak Chanwat; Kuo Hsin Chen; Yajin Chen; Daniel Cherqui; Tan To Cheung; Ruben Ciria; David Fuks; David A. Geller; Ho Seong Han; Kiyoshi Hasegawa; Etsuro Hatano; Osamu Itano; Yukio Iwashita; Hironori Kaneko; Yutaro Kato; Ji Hoon Kim; Rong Liu; Santiago López-Ben; Fernando Rotellar; Yoshihiro Sakamoto; Atsushi Sugioka; Tomoharu Yoshizumi; Keiichi Akahoshi; Felipe Alconchel; Shunichi Ariizumi; Andrea Benedetti Cacciaguerra; Manuel Durán; Alain García Vázquez; Nicolas Golse; Yoshihiro Miyasaka; Yasuhisa Mori; Satoshi Ogiso; Chikara Shirata; Federico Tomassini; Takeshi Urade; Hitoe Nishino; Filipe Kunzler; Shingo Kozono; Hiroaki Osakabe; Chie Takishita; Daisuke Ban; Taizo Hibi; Norihiro Kokudo; Masayuki Ohtsuka; Yuichi Nagakawa; Takao Ohtsuka; Minoru Tanabe; Masafumi Nakamura; Masakazu Yamamoto; Akihiko Tsuchida; Go Wakabayashi

doi:10.1002/jhbp.1094

Minimally invasive anatomic liver resection: Results of a survey of world experts

Mamoru Morimoto, Kazuteru Monden, Taiga Wakabayashi, Naoto Gotohda, Yuta Abe, Goro Honda, Mohammed Abu Hilal, Takeshi Aoki, Horacio J. Asbun, Giammauro Berardi, Albert C.Y. Chan, Rawisak Chanwat, Kuo Hsin Chen, Yajin Chen, Daniel Cherqui, Tan To Cheung, Ruben Ciria, David Fuks, David A. Geller, Ho Seong HanKiyoshi Hasegawa, Etsuro Hatano, Osamu Itano, Yukio Iwashita, Hironori Kaneko, Yutaro Kato, Ji Hoon Kim, Rong Liu, Santiago López-Ben, Fernando Rotellar, Yoshihiro Sakamoto, Atsushi Sugioka, Tomoharu Yoshizumi, Keiichi Akahoshi, Felipe Alconchel, Shunichi Ariizumi, Andrea Benedetti Cacciaguerra, Manuel Durán, Alain García Vázquez, Nicolas Golse, Yoshihiro Miyasaka, Yasuhisa Mori, Satoshi Ogiso, Chikara Shirata, Federico Tomassini, Takeshi Urade, Hitoe Nishino, Filipe Kunzler, Shingo Kozono, Hiroaki Osakabe, Chie Takishita, Daisuke Ban, Taizo Hibi, Norihiro Kokudo, Masayuki Ohtsuka, Yuichi Nagakawa, Takao Ohtsuka, Minoru Tanabe, Masafumi Nakamura, Masakazu Yamamoto, Akihiko Tsuchida, Go Wakabayashi

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	33-40
Number of pages	8
Journal	Journal of Hepato-Biliary-Pancreatic Sciences
Volume	29
Issue number	1
DOIs	https://doi.org/10.1002/jhbp.1094
Publication status	Published - 01-2022

All Science Journal Classification (ASJC) codes

Surgery
Hepatology

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10.1002/jhbp.1094

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Morimoto, M., Monden, K., Wakabayashi, T., Gotohda, N., Abe, Y., Honda, G., Abu Hilal, M., Aoki, T., Asbun, H. J., Berardi, G., Chan, A. C. Y., Chanwat, R., Chen, K. H., Chen, Y., Cherqui, D., Cheung, T. T., Ciria, R., Fuks, D., Geller, D. A., ... Wakabayashi, G. (2022). Minimally invasive anatomic liver resection: Results of a survey of world experts. Journal of Hepato-Biliary-Pancreatic Sciences, 29(1), 33-40. https://doi.org/10.1002/jhbp.1094

@article{74a3f9dd41bb424889d6301ae247f1ee,

title = "Minimally invasive anatomic liver resection: Results of a survey of world experts",

abstract = "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.",

author = "Mamoru Morimoto and Kazuteru Monden and Taiga Wakabayashi and Naoto Gotohda and Yuta Abe and Goro Honda and {Abu Hilal}, Mohammed and Takeshi Aoki and Asbun, {Horacio J.} and Giammauro Berardi and Chan, {Albert C.Y.} and Rawisak Chanwat and Chen, {Kuo Hsin} and Yajin Chen and Daniel Cherqui and Cheung, {Tan To} and Ruben Ciria and David Fuks and Geller, {David A.} and Han, {Ho Seong} and Kiyoshi Hasegawa and Etsuro Hatano and Osamu Itano and Yukio Iwashita and Hironori Kaneko and Yutaro Kato and Kim, {Ji Hoon} and Rong Liu and Santiago L{\'o}pez-Ben and Fernando Rotellar and Yoshihiro Sakamoto and Atsushi Sugioka and Tomoharu Yoshizumi and Keiichi Akahoshi and Felipe Alconchel and Shunichi Ariizumi and {Benedetti Cacciaguerra}, Andrea and Manuel Dur{\'a}n and {Garc{\'i}a V{\'a}zquez}, Alain and Nicolas Golse and Yoshihiro Miyasaka and Yasuhisa Mori and Satoshi Ogiso and Chikara Shirata and Federico Tomassini and Takeshi Urade and Hitoe Nishino and Filipe Kunzler and Shingo Kozono and Hiroaki Osakabe and Chie Takishita and Daisuke Ban and Taizo Hibi and Norihiro Kokudo and Masayuki Ohtsuka and Yuichi Nagakawa and Takao Ohtsuka and Minoru Tanabe and Masafumi Nakamura and Masakazu Yamamoto and Akihiko Tsuchida and Go Wakabayashi",

note = "Publisher Copyright: {\textcopyright} 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery",

year = "2022",

month = jan,

doi = "10.1002/jhbp.1094",

language = "English",

volume = "29",

pages = "33--40",

journal = "Journal of Hepato-Biliary-Pancreatic Sciences",

issn = "1868-6974",

publisher = "Springer Verlag",

number = "1",

}

Morimoto, M, Monden, K, Wakabayashi, T, Gotohda, N, Abe, Y, Honda, G, Abu Hilal, M, Aoki, T, Asbun, HJ, Berardi, G, Chan, ACY, Chanwat, R, Chen, KH, Chen, Y, Cherqui, D, Cheung, TT, Ciria, R, Fuks, D, Geller, DA, Han, HS, Hasegawa, K, Hatano, E, Itano, O, Iwashita, Y, Kaneko, H, Kato, Y, Kim, JH, Liu, R, López-Ben, S, Rotellar, F, Sakamoto, Y, Sugioka, A, Yoshizumi, T, Akahoshi, K, Alconchel, F, Ariizumi, S, Benedetti Cacciaguerra, A, Durán, M, García Vázquez, A, Golse, N, Miyasaka, Y, Mori, Y, Ogiso, S, Shirata, C, Tomassini, F, Urade, T, Nishino, H, Kunzler, F, Kozono, S, Osakabe, H, Takishita, C, Ban, D, Hibi, T, Kokudo, N, Ohtsuka, M, Nagakawa, Y, Ohtsuka, T, Tanabe, M, Nakamura, M, Yamamoto, M, Tsuchida, A & Wakabayashi, G 2022, 'Minimally invasive anatomic liver resection: Results of a survey of world experts', Journal of Hepato-Biliary-Pancreatic Sciences, vol. 29, no. 1, pp. 33-40. https://doi.org/10.1002/jhbp.1094

TY - JOUR

T1 - Minimally invasive anatomic liver resection

T2 - Results of a survey of world experts

AU - Morimoto, Mamoru

AU - Monden, Kazuteru

AU - Wakabayashi, Taiga

AU - Gotohda, Naoto

AU - Abe, Yuta

AU - Honda, Goro

AU - Abu Hilal, Mohammed

AU - Aoki, Takeshi

AU - Asbun, Horacio J.

AU - Berardi, Giammauro

AU - Chan, Albert C.Y.

AU - Chanwat, Rawisak

AU - Chen, Kuo Hsin

AU - Chen, Yajin

AU - Cherqui, Daniel

AU - Cheung, Tan To

AU - Ciria, Ruben

AU - Fuks, David

AU - Geller, David A.

AU - Han, Ho Seong

AU - Hasegawa, Kiyoshi

AU - Hatano, Etsuro

AU - Itano, Osamu

AU - Iwashita, Yukio

AU - Kaneko, Hironori

AU - Kato, Yutaro

AU - Kim, Ji Hoon

AU - Liu, Rong

AU - López-Ben, Santiago

AU - Rotellar, Fernando

AU - Sakamoto, Yoshihiro

AU - Sugioka, Atsushi

AU - Yoshizumi, Tomoharu

AU - Akahoshi, Keiichi

AU - Alconchel, Felipe

AU - Ariizumi, Shunichi

AU - Benedetti Cacciaguerra, Andrea

AU - Durán, Manuel

AU - García Vázquez, Alain

AU - Golse, Nicolas

AU - Miyasaka, Yoshihiro

AU - Mori, Yasuhisa

AU - Ogiso, Satoshi

AU - Shirata, Chikara

AU - Tomassini, Federico

AU - Urade, Takeshi

AU - Nishino, Hitoe

AU - Kunzler, Filipe

AU - Kozono, Shingo

AU - Osakabe, Hiroaki

AU - Takishita, Chie

AU - Ban, Daisuke

AU - Hibi, Taizo

AU - Kokudo, Norihiro

AU - Ohtsuka, Masayuki

AU - Nagakawa, Yuichi

AU - Ohtsuka, Takao

AU - Tanabe, Minoru

AU - Nakamura, Masafumi

AU - Yamamoto, Masakazu

AU - Tsuchida, Akihiko

AU - Wakabayashi, Go

PY - 2022/1

Y1 - 2022/1

N2 - 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.

AB - 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.

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U2 - 10.1002/jhbp.1094

DO - 10.1002/jhbp.1094

M3 - Article

C2 - 34866343

AN - SCOPUS:85121395083

SN - 1868-6974

VL - 29

SP - 33

EP - 40

JO - Journal of Hepato-Biliary-Pancreatic Sciences

JF - Journal of Hepato-Biliary-Pancreatic Sciences

IS - 1

ER -

Minimally invasive anatomic liver resection: Results of a survey of world experts

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