2021
DOI: 10.1002/jhbp.899
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Landmarks to identify segmental borders of the liver: A review prepared for PAM‐HBP expert consensus meeting 2021

Abstract: Background:In preparation for the upcoming consensus meeting in Tokyo in 2021, this systematic review aimed to analyze the current available evidence regarding surgical anatomy of the liver, focusing on useful landmarks, strategies and technical tools to perform precise anatomic liver resection (ALR). Methods: A systematic review was conducted on MEDLINE/PubMed for English articles and on Ichushi database for Japanese articles until September 2020. The quality assessment of the articles was performed in accord… Show more

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Cited by 33 publications
(25 citation statements)
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References 89 publications
(216 reference statements)
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“…Therefore, we firstly performed systematic reviews to obtain existing evidence. [2][3][4] Next, we sought opinions from the selected experts throughout the world and explored a reasonable method for safely carrying out MIALR. In a recently published report of a survey regarding MILR, 5 many of the respondents were inexperienced surgeons.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Therefore, we firstly performed systematic reviews to obtain existing evidence. [2][3][4] Next, we sought opinions from the selected experts throughout the world and explored a reasonable method for safely carrying out MIALR. In a recently published report of a survey regarding MILR, 5 many of the respondents were inexperienced surgeons.…”
Section: Discussionmentioning
confidence: 99%
“…11 In another systematic review conducted before PAM-HBP Surgery, helpful landmarks included the root of the major hepatic vein, a demarcation line on the surface, intersegmental veins, extrahepatic Glissonean pedicles, and the others. 4 In anatomic resection, it is considered that the liver should be dissected along with the appropriate IP by connecting them. In response to a questionnaire about the techniques for identifying IP, the three most valuable techniques in both open and laparoscopic surgery were the creation of a demarcation line, the indocyanine green (ICG) negative staining method, and intraoperative ultrasound.…”
Section: Q14mentioning
confidence: 99%
“…The main limitation of this manuscript is that the recommendations are not based on high-level evidence. Although we have already reported systematic reviews, [2][3][4] there were no prospective randomized controlled trials in the literature reviews. Instead, most of the literature was categorized as "expert opinions" and "case series", which were evaluated as low-level evidence.…”
Section: A Liʃle 24%mentioning
confidence: 99%
“…The detailed results and the process of this literature review have been previously published elsewhere. [2][3][4] An expert survey was simultaneously performed to collect experts' opinions. The survey group consisted of experts from Spain, France, Italy, and Japan, who identified survey questions regarding MIALR anatomy and approach topics which were then approved by the steering committee.…”
Section: Introductionmentioning
confidence: 99%
“…Indeed, it guarantees the identification of the intersegmental planes and the borders of the resection not only on the surface but also in the deep liver, removing the whole tumor-bearing area and leaving a well-vascularized parenchyma. In the era of minimally invasive liver surgery, ICG fluorescence helps identify liver segments boundaries and localize tumors, even in cirrhotic livers [ 42 ]. This technology, may help overcome the limitations of LLR (lack of tactile sensation, challenges in ultrasound) for both anatomical and non-anatomical resections.…”
Section: Indocyanine Green Dye Fluorescencementioning
confidence: 99%