International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project

Yuichi Nagakawa; Kohei Nakata; Hitoe Nishino; Takao Ohtsuka; Daisuke Ban; Horacio J. Asbun; Ugo Boggi; Jin He; Michael L Kendrick; Chinnusamy Palanivelu; Rong Liu; Shin E. Wang; Chung Ngai Tang; Kyoichi Takaori; Mohammed Abu Hilal; Brian K.P. Goh; Goro Honda; Jin Young Jang; Chang Moo Kang; David A. Kooby; Yoshiharu Nakamura; Shailesh V. Shrikhande; Christopher L. Wolfgang; Anusak Yiengpruksawan; Yoo Seok Yoon; Yusuke Watanabe; Shingo Kozono; Ruben Ciria; Giammauro Berardi; Giovanni Maria Garbarino; Ryota Higuchi; Naoki Ikenaga; Yoshiya Ishikawa; Aya Maekawa; Yoshiki Murase; Giuseppe Zimmitti; Filipe Kunzler; Zi Zheng Wang; Leon Sakuma; Chie Takishita; Hiroaki Osakabe; Itaru Endo; Masao Tanaka; Hiroki Yamaue; Minoru Tanabe; Go Wakabayashi; Akihiko Tsuchida; Masafumi Nakamura

doi:10.1002/jhbp.1081

International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project

Yuichi Nagakawa, Kohei Nakata, Hitoe Nishino, Takao Ohtsuka, Daisuke Ban, Horacio J. Asbun, Ugo Boggi, Jin He, Michael L Kendrick, Chinnusamy Palanivelu, Rong Liu, Shin E. Wang, Chung Ngai Tang, Kyoichi Takaori, Mohammed Abu Hilal, Brian K.P. Goh, Goro Honda, Jin Young Jang, Chang Moo Kang, David A. KoobyYoshiharu Nakamura, Shailesh V. Shrikhande, Christopher L. Wolfgang, Anusak Yiengpruksawan, Yoo Seok Yoon, Yusuke Watanabe, Shingo Kozono, Ruben Ciria, Giammauro Berardi, Giovanni Maria Garbarino, Ryota Higuchi, Naoki Ikenaga, Yoshiya Ishikawa, Aya Maekawa, Yoshiki Murase, Giuseppe Zimmitti, Filipe Kunzler, Zi Zheng Wang, Leon Sakuma, Chie Takishita, Hiroaki Osakabe, Itaru Endo, Masao Tanaka, Hiroki Yamaue, Minoru Tanabe, Go Wakabayashi, Akihiko Tsuchida, Masafumi Nakamura

Department of Surgery

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

4 Citations (Scopus)

Abstract

Background: The anatomical structure around the pancreatic head is very complex and it is important to understand its precise anatomy and corresponding anatomical approach to safely perform minimally invasive pancreatoduodenectomy (MIPD). This consensus statement aimed to develop recommendations for elucidating the anatomy and surgical approaches to MIPD. Methods: Studies identified via a comprehensive literature search were classified using the Scottish Intercollegiate Guidelines Network method. Delphi voting was conducted after experts had drafted recommendations, with a goal of obtaining >75% consensus. Experts discussed the revised recommendations with the validation committee and an international audience of 384 attendees. Finalized recommendations were made after a second round of online Delphi voting. Results: Three clinical questions were addressed, providing six recommendations. All recommendations reached at least a consensus of 75%. Preoperatively evaluating the presence of anatomical variations and superior mesenteric artery (SMA) and superior mesenteric vein (SMV) branching patterns was recommended. Moreover, it was recommended to fully understand the anatomical approach to SMA and intraoperatively confirm the SMA course based on each anatomical landmark before initiating dissection. Conclusions: MIPD experts suggest that surgical trainees perform resection based on precise anatomical landmarks for safe and reliable MIPD.

Original language	English
Pages (from-to)	124-135
Number of pages	12
Journal	Journal of Hepato-Biliary-Pancreatic Sciences
Volume	29
Issue number	1
DOIs	https://doi.org/10.1002/jhbp.1081
Publication status	Published - 2022 Jan

Bibliographical note

Funding Information:
This study was conducted as a project study of the Japanese Society of Hepatobiliary and Pancreatic Surgery and endorsed by the International Hepato-Pancreato-Biliary Association. We would like to thank all the surgeons who contributed to this project.

Publisher Copyright:
© 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery

All Science Journal Classification (ASJC) codes

Surgery
Hepatology

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10.1002/jhbp.1081

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Nagakawa, Y., Nakata, K., Nishino, H., Ohtsuka, T., Ban, D., Asbun, H. J., Boggi, U., He, J., Kendrick, ML., Palanivelu, C., Liu, R., Wang, S. E., Tang, C. N., Takaori, K., Abu Hilal, M., Goh, B. K. P., Honda, G., Jang, J. Y., Kang, C. M., ... Nakamura, M. (2022). International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project. Journal of Hepato-Biliary-Pancreatic Sciences, 29(1), 124-135. https://doi.org/10.1002/jhbp.1081

@article{2a112cdf27ed4f46a5a5a74aa48fab92,

title = "International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project",

abstract = "Background: The anatomical structure around the pancreatic head is very complex and it is important to understand its precise anatomy and corresponding anatomical approach to safely perform minimally invasive pancreatoduodenectomy (MIPD). This consensus statement aimed to develop recommendations for elucidating the anatomy and surgical approaches to MIPD. Methods: Studies identified via a comprehensive literature search were classified using the Scottish Intercollegiate Guidelines Network method. Delphi voting was conducted after experts had drafted recommendations, with a goal of obtaining >75% consensus. Experts discussed the revised recommendations with the validation committee and an international audience of 384 attendees. Finalized recommendations were made after a second round of online Delphi voting. Results: Three clinical questions were addressed, providing six recommendations. All recommendations reached at least a consensus of 75%. Preoperatively evaluating the presence of anatomical variations and superior mesenteric artery (SMA) and superior mesenteric vein (SMV) branching patterns was recommended. Moreover, it was recommended to fully understand the anatomical approach to SMA and intraoperatively confirm the SMA course based on each anatomical landmark before initiating dissection. Conclusions: MIPD experts suggest that surgical trainees perform resection based on precise anatomical landmarks for safe and reliable MIPD.",

author = "Yuichi Nagakawa and Kohei Nakata and Hitoe Nishino and Takao Ohtsuka and Daisuke Ban and Asbun, {Horacio J.} and Ugo Boggi and Jin He and Michael L Kendrick and Chinnusamy Palanivelu and Rong Liu and Wang, {Shin E.} and Tang, {Chung Ngai} and Kyoichi Takaori and {Abu Hilal}, Mohammed and Goh, {Brian K.P.} and Goro Honda and Jang, {Jin Young} and Kang, {Chang Moo} and Kooby, {David A.} and Yoshiharu Nakamura and Shrikhande, {Shailesh V.} and Wolfgang, {Christopher L.} and Anusak Yiengpruksawan and Yoon, {Yoo Seok} and Yusuke Watanabe and Shingo Kozono and Ruben Ciria and Giammauro Berardi and Giovanni Maria Garbarino and Ryota Higuchi and Naoki Ikenaga and Yoshiya Ishikawa and Aya Maekawa and Yoshiki Murase and Giuseppe Zimmitti and Filipe Kunzler and Wang, {Zi Zheng} and Leon Sakuma and Chie Takishita and Hiroaki Osakabe and Itaru Endo and Masao Tanaka and Hiroki Yamaue and Minoru Tanabe and Go Wakabayashi and Akihiko Tsuchida and Masafumi Nakamura",

note = "Funding Information: This study was conducted as a project study of the Japanese Society of Hepatobiliary and Pancreatic Surgery and endorsed by the International Hepato-Pancreato-Biliary Association. We would like to thank all the surgeons who contributed to this project. Publisher Copyright: {\textcopyright} 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery",

year = "2022",

month = jan,

doi = "10.1002/jhbp.1081",

language = "English",

volume = "29",

pages = "124--135",

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

issn = "1868-6974",

publisher = "Springer Verlag",

number = "1",

}

Nagakawa, Y, Nakata, K, Nishino, H, Ohtsuka, T, Ban, D, Asbun, HJ, Boggi, U, He, J, Kendrick, ML, Palanivelu, C, Liu, R, Wang, SE, Tang, CN, Takaori, K, Abu Hilal, M, Goh, BKP, Honda, G, Jang, JY, Kang, CM, Kooby, DA, Nakamura, Y, Shrikhande, SV, Wolfgang, CL, Yiengpruksawan, A, Yoon, YS, Watanabe, Y, Kozono, S, Ciria, R, Berardi, G, Garbarino, GM, Higuchi, R, Ikenaga, N, Ishikawa, Y, Maekawa, A, Murase, Y, Zimmitti, G, Kunzler, F, Wang, ZZ, Sakuma, L, Takishita, C, Osakabe, H, Endo, I, Tanaka, M, Yamaue, H, Tanabe, M, Wakabayashi, G, Tsuchida, A & Nakamura, M 2022, 'International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project', Journal of Hepato-Biliary-Pancreatic Sciences, vol. 29, no. 1, pp. 124-135. https://doi.org/10.1002/jhbp.1081

TY - JOUR

T1 - International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy

T2 - PAM-HBP surgery project

AU - Nagakawa, Yuichi

AU - Nakata, Kohei

AU - Nishino, Hitoe

AU - Ohtsuka, Takao

AU - Ban, Daisuke

AU - Asbun, Horacio J.

AU - Boggi, Ugo

AU - He, Jin

AU - Kendrick, Michael L

AU - Palanivelu, Chinnusamy

AU - Liu, Rong

AU - Wang, Shin E.

AU - Tang, Chung Ngai

AU - Takaori, Kyoichi

AU - Abu Hilal, Mohammed

AU - Goh, Brian K.P.

AU - Honda, Goro

AU - Jang, Jin Young

AU - Kang, Chang Moo

AU - Kooby, David A.

AU - Nakamura, Yoshiharu

AU - Shrikhande, Shailesh V.

AU - Wolfgang, Christopher L.

AU - Yiengpruksawan, Anusak

AU - Yoon, Yoo Seok

AU - Watanabe, Yusuke

AU - Kozono, Shingo

AU - Ciria, Ruben

AU - Berardi, Giammauro

AU - Garbarino, Giovanni Maria

AU - Higuchi, Ryota

AU - Ikenaga, Naoki

AU - Ishikawa, Yoshiya

AU - Maekawa, Aya

AU - Murase, Yoshiki

AU - Zimmitti, Giuseppe

AU - Kunzler, Filipe

AU - Wang, Zi Zheng

AU - Sakuma, Leon

AU - Takishita, Chie

AU - Osakabe, Hiroaki

AU - Endo, Itaru

AU - Tanaka, Masao

AU - Yamaue, Hiroki

AU - Tanabe, Minoru

AU - Wakabayashi, Go

AU - Tsuchida, Akihiko

AU - Nakamura, Masafumi

N1 - Funding Information: This study was conducted as a project study of the Japanese Society of Hepatobiliary and Pancreatic Surgery and endorsed by the International Hepato-Pancreato-Biliary Association. We would like to thank all the surgeons who contributed to this project. Publisher Copyright: © 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery

PY - 2022/1

Y1 - 2022/1

N2 - Background: The anatomical structure around the pancreatic head is very complex and it is important to understand its precise anatomy and corresponding anatomical approach to safely perform minimally invasive pancreatoduodenectomy (MIPD). This consensus statement aimed to develop recommendations for elucidating the anatomy and surgical approaches to MIPD. Methods: Studies identified via a comprehensive literature search were classified using the Scottish Intercollegiate Guidelines Network method. Delphi voting was conducted after experts had drafted recommendations, with a goal of obtaining >75% consensus. Experts discussed the revised recommendations with the validation committee and an international audience of 384 attendees. Finalized recommendations were made after a second round of online Delphi voting. Results: Three clinical questions were addressed, providing six recommendations. All recommendations reached at least a consensus of 75%. Preoperatively evaluating the presence of anatomical variations and superior mesenteric artery (SMA) and superior mesenteric vein (SMV) branching patterns was recommended. Moreover, it was recommended to fully understand the anatomical approach to SMA and intraoperatively confirm the SMA course based on each anatomical landmark before initiating dissection. Conclusions: MIPD experts suggest that surgical trainees perform resection based on precise anatomical landmarks for safe and reliable MIPD.

AB - Background: The anatomical structure around the pancreatic head is very complex and it is important to understand its precise anatomy and corresponding anatomical approach to safely perform minimally invasive pancreatoduodenectomy (MIPD). This consensus statement aimed to develop recommendations for elucidating the anatomy and surgical approaches to MIPD. Methods: Studies identified via a comprehensive literature search were classified using the Scottish Intercollegiate Guidelines Network method. Delphi voting was conducted after experts had drafted recommendations, with a goal of obtaining >75% consensus. Experts discussed the revised recommendations with the validation committee and an international audience of 384 attendees. Finalized recommendations were made after a second round of online Delphi voting. Results: Three clinical questions were addressed, providing six recommendations. All recommendations reached at least a consensus of 75%. Preoperatively evaluating the presence of anatomical variations and superior mesenteric artery (SMA) and superior mesenteric vein (SMV) branching patterns was recommended. Moreover, it was recommended to fully understand the anatomical approach to SMA and intraoperatively confirm the SMA course based on each anatomical landmark before initiating dissection. Conclusions: MIPD experts suggest that surgical trainees perform resection based on precise anatomical landmarks for safe and reliable MIPD.

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U2 - 10.1002/jhbp.1081

DO - 10.1002/jhbp.1081

M3 - Article

C2 - 34783176

AN - SCOPUS:85120472637

SN - 1868-6974

VL - 29

SP - 124

EP - 135

JO - Journal of Hepato-Biliary-Pancreatic Sciences

JF - Journal of Hepato-Biliary-Pancreatic Sciences

IS - 1

ER -

International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project

Abstract

Bibliographical note

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