International Expert Consensus on Precision Anatomy for minimally invasive distal pancreatectomy: PAM-HBP Surgery Project
Daisuke Ban
Department of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital, Tokyo, Japan
Search for more papers by this authorHitoe Nishino
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Department of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
Search for more papers by this authorTakao Ohtsuka
First Department of Surgery, Kagoshima University School of Medicine, Kagoshima, Japan
Search for more papers by this authorYuichi Nagakawa
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorMohammed Abu Hilal
Department of Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Search for more papers by this authorHoracio J. Asbun
Hepato-Biliary and Pancreas Surgery, Miami Cancer Institute, Miami, Florida, USA
Search for more papers by this authorUgo Boggi
Division of General and Transplant Surgery, Pisa University Hospital, Pisa, Italy
Search for more papers by this authorBrian K. P. Goh
Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore City, Singapore
Search for more papers by this authorJin He
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Search for more papers by this authorGoro Honda
Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical University, Tokyo, Japan
Search for more papers by this authorJin-Young Jang
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
Search for more papers by this authorChang Moo Kang
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea
Search for more papers by this authorMichael L. Kendrick
Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA
Search for more papers by this authorDavid A. Kooby
Department of Surgery, Emory University School of Medicine, Winship Cancer Institute, Atlanta, Georgia, USA
Search for more papers by this authorRong Liu
Faculty of Hepato-Pancreato-Biliary Surgery, Institute of Hepatobiliary Surgery of Chinese PLA, Key Laboratory of Digital Hepatobiliary Surgery of Chinese PLA, Chinese PLA General Hospital, Beijing, China
Search for more papers by this authorYoshiharu Nakamura
Department of Surgery, Nippon Medical School, Tokyo, Japan
Search for more papers by this authorKohei Nakata
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorChinnusamy Palanivelu
Division of Gastrointestinal Surgery and Minimal Access Surgery, GEM Hospital and Research Centre, Coimbatore, India
Search for more papers by this authorShailesh V. Shrikhande
Department of Gastrointestinal and Hepato-Pancreato-Biliary Surgical Oncology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
Search for more papers by this authorKyoichi Takaori
Division of Hepatobiliary-Pancreatic Surgery and Transplantation, Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan
Search for more papers by this authorChung-Ngai Tang
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China
Search for more papers by this authorShin-E Wang
Department of Surgery, Taipei Veterans General Hospital and National Yang Ming Chiao Tung University, Taipei, Taiwan
Search for more papers by this authorChristopher L. Wolfgang
Division of Hepatobiliary and Pancreas Surgery, NYU Langone Health System, NYU Grossman School of Medicine, New York, New York, USA
Search for more papers by this authorAnusak Yiengpruksawan
Minimally Invasive Surgery Division, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorYoo-Seok Yoon
Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
Search for more papers by this authorRuben Ciria
Unit of Hepatobiliary Surgery and Liver Transplantation, University Hospital Reina Sofía, IMIBIC, Cordoba, Spain
Search for more papers by this authorGiammauro Berardi
Department of General Surgery and Liver Transplantation Service, San Camillo Forlanini Hospital of Rome, Rome, Italy
Search for more papers by this authorGiovanni Maria Garbarino
Department of Medical Surgical Science and Translational Medicine, Sapienza University of Rome, Rome, Italy
Search for more papers by this authorRyota Higuchi
Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical University, Tokyo, Japan
Search for more papers by this authorNaoki Ikenaga
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorYoshiya Ishikawa
Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorShingo Kozono
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorAya Maekawa
Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorYoshiki Murase
Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorYusuke Watanabe
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorGiuseppe Zimmitti
Department of Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Search for more papers by this authorFilipe Kunzler
Hepato-Biliary and Pancreas Surgery, Miami Cancer Institute, Miami, Florida, USA
Search for more papers by this authorZi-Zheng Wang
Faculty of Hepato-Pancreato-Biliary Surgery, Institute of Hepatobiliary Surgery of Chinese PLA, Key Laboratory of Digital Hepatobiliary Surgery of Chinese PLA, Chinese PLA General Hospital, Beijing, China
Search for more papers by this authorHiroaki Osakabe
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorChie Takishita
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorItaru Endo
Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan
Search for more papers by this authorMasao Tanaka
Department of Surgery, Shimonoseki City Hospital, Shimonoseki, Japan
Search for more papers by this authorHiroki Yamaue
Second Department of Surgery, Wakayama Medical University, Wakayama, Japan
Search for more papers by this authorMinoru Tanabe
Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorGo Wakabayashi
Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, Saitama, Japan
Search for more papers by this authorAkihiko Tsuchida
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorCorresponding Author
Masafumi Nakamura
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Correspondence
Masafumi Nakamura, Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Fukuoka 812-8582, Japan.
Email: [email protected]
Search for more papers by this authorDaisuke Ban
Department of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital, Tokyo, Japan
Search for more papers by this authorHitoe Nishino
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Department of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
Search for more papers by this authorTakao Ohtsuka
First Department of Surgery, Kagoshima University School of Medicine, Kagoshima, Japan
Search for more papers by this authorYuichi Nagakawa
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorMohammed Abu Hilal
Department of Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Search for more papers by this authorHoracio J. Asbun
Hepato-Biliary and Pancreas Surgery, Miami Cancer Institute, Miami, Florida, USA
Search for more papers by this authorUgo Boggi
Division of General and Transplant Surgery, Pisa University Hospital, Pisa, Italy
Search for more papers by this authorBrian K. P. Goh
Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore City, Singapore
Search for more papers by this authorJin He
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Search for more papers by this authorGoro Honda
Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical University, Tokyo, Japan
Search for more papers by this authorJin-Young Jang
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
Search for more papers by this authorChang Moo Kang
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea
Search for more papers by this authorMichael L. Kendrick
Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA
Search for more papers by this authorDavid A. Kooby
Department of Surgery, Emory University School of Medicine, Winship Cancer Institute, Atlanta, Georgia, USA
Search for more papers by this authorRong Liu
Faculty of Hepato-Pancreato-Biliary Surgery, Institute of Hepatobiliary Surgery of Chinese PLA, Key Laboratory of Digital Hepatobiliary Surgery of Chinese PLA, Chinese PLA General Hospital, Beijing, China
Search for more papers by this authorYoshiharu Nakamura
Department of Surgery, Nippon Medical School, Tokyo, Japan
Search for more papers by this authorKohei Nakata
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorChinnusamy Palanivelu
Division of Gastrointestinal Surgery and Minimal Access Surgery, GEM Hospital and Research Centre, Coimbatore, India
Search for more papers by this authorShailesh V. Shrikhande
Department of Gastrointestinal and Hepato-Pancreato-Biliary Surgical Oncology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
Search for more papers by this authorKyoichi Takaori
Division of Hepatobiliary-Pancreatic Surgery and Transplantation, Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan
Search for more papers by this authorChung-Ngai Tang
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China
Search for more papers by this authorShin-E Wang
Department of Surgery, Taipei Veterans General Hospital and National Yang Ming Chiao Tung University, Taipei, Taiwan
Search for more papers by this authorChristopher L. Wolfgang
Division of Hepatobiliary and Pancreas Surgery, NYU Langone Health System, NYU Grossman School of Medicine, New York, New York, USA
Search for more papers by this authorAnusak Yiengpruksawan
Minimally Invasive Surgery Division, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorYoo-Seok Yoon
Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
Search for more papers by this authorRuben Ciria
Unit of Hepatobiliary Surgery and Liver Transplantation, University Hospital Reina Sofía, IMIBIC, Cordoba, Spain
Search for more papers by this authorGiammauro Berardi
Department of General Surgery and Liver Transplantation Service, San Camillo Forlanini Hospital of Rome, Rome, Italy
Search for more papers by this authorGiovanni Maria Garbarino
Department of Medical Surgical Science and Translational Medicine, Sapienza University of Rome, Rome, Italy
Search for more papers by this authorRyota Higuchi
Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical University, Tokyo, Japan
Search for more papers by this authorNaoki Ikenaga
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorYoshiya Ishikawa
Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorShingo Kozono
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorAya Maekawa
Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorYoshiki Murase
Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorYusuke Watanabe
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorGiuseppe Zimmitti
Department of Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Search for more papers by this authorFilipe Kunzler
Hepato-Biliary and Pancreas Surgery, Miami Cancer Institute, Miami, Florida, USA
Search for more papers by this authorZi-Zheng Wang
Faculty of Hepato-Pancreato-Biliary Surgery, Institute of Hepatobiliary Surgery of Chinese PLA, Key Laboratory of Digital Hepatobiliary Surgery of Chinese PLA, Chinese PLA General Hospital, Beijing, China
Search for more papers by this authorHiroaki Osakabe
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorChie Takishita
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorItaru Endo
Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan
Search for more papers by this authorMasao Tanaka
Department of Surgery, Shimonoseki City Hospital, Shimonoseki, Japan
Search for more papers by this authorHiroki Yamaue
Second Department of Surgery, Wakayama Medical University, Wakayama, Japan
Search for more papers by this authorMinoru Tanabe
Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorGo Wakabayashi
Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, Saitama, Japan
Search for more papers by this authorAkihiko Tsuchida
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorCorresponding Author
Masafumi Nakamura
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Correspondence
Masafumi Nakamura, Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Fukuoka 812-8582, Japan.
Email: [email protected]
Search for more papers by this authorDaisuke Ban and Hitoe Nishino contributed equally to this work and share the first authorship.
Abstract
Background
Surgical views with high resolution and magnification have enabled us to recognize the precise anatomical structures that can be used as landmarks during minimally invasive distal pancreatectomy (MIDP). This study aimed to validate the usefulness of anatomy-based approaches for MIDP before and during the Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (February 24, 2021).
Methods
Twenty-five international MIDP experts developed clinical questions regarding surgical anatomy and approaches for MIDP. Studies identified via a comprehensive literature search were classified using Scottish Intercollegiate Guidelines Network methodology. Online Delphi voting was conducted after experts had drafted the recommendations, with the goal of obtaining >75% consensus. Experts discussed the revised recommendations in front of the validation committee and an international audience of 384 attendees. Finalized recommendations were made after a second round of online Delphi voting.
Results
Four clinical questions were addressed, resulting in 10 recommendations. All recommendations reached at least a 75% consensus among experts.
Conclusions
The expert consensus on precision anatomy for MIDP has been presented as a set of recommendations based on available evidence and expert opinions. These recommendations should guide experts and trainees in performing safe MIDP and foster its appropriate dissemination worldwide.
CONFLICT OF INTEREST
None declared.
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