Volume 29, Issue 1 pp. 136-150
SYSTEMATIC REVIEW

Precision vascular anatomy for minimally invasive distal pancreatectomy: A systematic review

Hitoe Nishino

Hitoe Nishino

Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan

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Giuseppe Zimmitti

Giuseppe Zimmitti

Department of Surgery, Istituto Fondazione Poliambulanza, Brescia, Italy

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Takao Ohtsuka

Takao Ohtsuka

First Department of Surgery, Kagoshima University School of Medicine, Kagoshima, Japan

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Mohammed Abu Hilal

Mohammed Abu Hilal

Department of Surgery, Istituto Fondazione Poliambulanza, Brescia, Italy

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Brian K. P. Goh

Brian K. P. Goh

Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore City, Singapore

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David A. Kooby

David A. Kooby

Department of Surgery, Emory University School of Medicine, Winship Cancer Institute, Atlanta, GA, USA

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Yoshiharu Nakamura

Yoshiharu Nakamura

Department of Surgery, Nippon Medical School, Tokyo, Japan

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Shailesh V. Shrikhande

Shailesh V. Shrikhande

Department of Gastrointestinal and Hepato-Pancreato-Biliary Surgical Oncology, Tata Memorial Hospital, Mumbai, India

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Yoo-Seok Yoon

Yoo-Seok Yoon

Department of Surgery, Seoul National University Bundang Hospital, Seoul National University, Seoul, Korea

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Daisuke Ban

Daisuke Ban

Department of Hepatobiliary and Pancreatic Surgery Division, National Cancer Center Hospital, Tokyo, Japan

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Yuichi Nagakawa

Yuichi Nagakawa

Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan

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Kohei Nakata

Kohei Nakata

Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

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Itaru Endo

Itaru Endo

Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan

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Akihiko Tsuchida

Akihiko Tsuchida

Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan

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Masafumi Nakamura

Corresponding 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]

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Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)

Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)

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First published: 01 February 2021
Citations: 14

Collaborators are presented in Appendix  1.

Abstract

Background

Minimally invasive distal pancreatectomy (MIDP) is increasingly performed worldwide; however, the surgical anatomy required to safely perform MIDP has not yet been fully considered. This review evaluated the literature concerning peripancreatic vascular anatomy, which is considered important to conduct safe MIDP.

Methods

A database search of PubMed and Ichushi (Japanese) was conducted. Qualified studies investigating the anatomical variations of peripancreatic vessels related to MIDP were evaluated using SIGN methodology.

Results

Of 701 articles yielded by our search strategy, 76 articles were assessed in this systematic review. The important vascular anatomy required to recognize MIDP included the pancreatic parenchymal coverage on the root and the running course of the splenic artery, branching patterns of the splenic artery, confluence positions of the left gastric vein and the inferior mesenteric vein, forms of pancreatic veins including the centro-inferior pancreatic vein, characteristics of the left renal vein, and collateral routes perfusing the spleen following Warshaw's technique. Very few articles evaluating the relationship between the anatomical variations and surgical outcomes of MIDP were found.

Conclusions

The precise knowledge of peripancreatic vessels is important to adequately complete MIDP. More detailed anatomic analyses and descriptions will benefit surgeons and their patients who are facing these operations.

CONFLICT OF INTEREST

None declared.

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