Background: Minimally invasive pancreatoduodenectomy (MIPD) has recently gained popularity. Several international meetings focusing on the existing literature on MIPD were held; however, the precise surgical anatomy of the pancreas for the safe use of MIPD has not yet been fully discussed. The aim of this study was to carry out a systematic review of available articles and to show the importance of identifying the anatomical variation in pancreatoduodenectomy. Methods: In this review, we described variations in surgical anatomy related to MIPD. A systematic search of PubMed (MEDLINE) was conducted, and the references were identified manually. Results: The search strategy yielded 272 articles, with 77 retained for analysis. The important anatomy to be considered during MIPD includes the aberrant right hepatic artery, first jejunal vein, first jejunal artery, and dorsal pancreatic artery. Celiac artery stenosis and a circumportal pancreas are also important to recognize. Conclusions: We conclude that only certain anatomical variations are associated directly with perioperative outcomes and that identification of these particular variations is important for safe performance of MIPD.
|Number of pages||15|
|Journal||Journal of Hepato-Biliary-Pancreatic Sciences|
|Publication status||Published - 2022 Jan|
Bibliographical noteFunding Information:
This review was performed in preparation for the “Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic Surgery: Expert Consensus Meeting,” which will be held during the 32nd annual meeting of the Japanese Society of Hepato-Biliary-Pancreatic Surgery in Tokyo in February 2021. Details on the design of this project were decided by Masafumi Nakamura, Takao Ohtsuka, Yuichi Nagakawa, Daisuke Ban, Kohei Nakata, Hitoe Nishino, Akihiko Tsuchida, and Itaru Endo. Hitoe Nishino contributed to the progress of this project as the secretariat. The literature was searched and reviewed by Ryota Higuchi, Naoki Ikenaga, and Kohei Nakata. The draft of the manuscript was critiqued by Masafumi Nakamura, Kohei Nakata, Takao Ohtsuka, Yuichi Nagakawa, Daisuke Ban, Horacio J. Asbun, Ugo Boggi, Chung-Ngai Tang, and Christopher L. Wolfgang. All authors approved the final manuscript.
© 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery
All Science Journal Classification (ASJC) codes