Pagina Iniziale » Fegato » Interventi Chirurgici sul Fegato » Laparoscopia
Chirurgia Laparoscopica del Fegato
Chirurgia del fegato mini-invasiva, Chirurgia laparoscopica epatica, Chirurgia epatica laparoscopica, Laparoscopia epatica, Resezioni epatiche laparoscopiche

Rappresentazione schematica del possibile posizionamento degli accessi per gli strumenti chirurgici per un intervento di chirurgia laparoscopica del fegato, come la resezione epatica
Cosa è la laparoscopia
La laparoscopia (o Video-Laparo-Chirurgia, abbreviata come VLC) è una tecnica chirurgica minimamente invasiva, grazie alla quale il chirurgo operatore può entrare nella cavità addominale di un paziente, senza ricorrere alle grandi incisioni richieste invece dalla chirurgia tradizionale a cielo aperto (denominata invece “laparotomica”).
La laparoscopia, quindi, prevede l’esecuzione di un numero esiguo di piccole incisioni (il cui numero è variabile in base all’intervento da eseguire) necessarie per introdurre degli strumenti particolari adatti a illuminare, vedere ed operare all’interno della pancia. Attraverso questi strumenti si può contemporaneamente “gonfiare” la pancia, insufflando l’anidride carbonica, per creare un grande spazio utile per poter vedere ed eseguire quelle manovre chirurgiche necessarie per poter trattare il paziente. La presenza di aria o di anidride carbonica all’interno della pancia si identifica con il nome di “pneumoperitoneo”.
Le tecniche mini-invasive (quali la laparoscopia e la robotica), vengono eseguite comunque in anestesia generale.
Lo strumento principale è il laparoscopio: uno strumento per la visione del diametro di 10 mm, dotato di fibre ottiche attraverso le quali viaggia la luce e collegato ad una telecamera esterna che proietta su un monitor le immagini della cavità addominale.
Si può applicare la chirurgia laparoscopica agli interventi sul fegato?
Sì.
La laparoscopia può essere impiegata con successo per eseguire interventi, anche complessi, sul fegato.
La prima resezione epatica eseguita per via laparoscopica è stata però eseguita e pubblicata da un ginecologo: H. Reich, di Kingston, Pennsylvania (USA) nel novembre 1991.
Chi può essere operato in laparoscopia sul fegato?
Non vi sono limitazioni per l’uso della laparoscopia in chirurgia epatica. Tuttavia i pazienti devono eseguire una attenta valutazione clinica e radiologica, per considerare la reale possibilità di poter effettivamente eseguire questa metodica per l’intervento necessario a curare la malattia di cui sono portatori:
Valutazioni di carattere generale:
- assenza di condizioni o di malattie che possano rendere problematico l’esecuzione ed il mantenimento del pneumoperitoneo (l’introduzione dell’anidride carbonica all’interno della pancia).
Valutazioni di carattere tecnico:
- presenza di tenaci aderenze addominali esito di processi infiammatori o di precedenti interventi chirurgici;
- numero e sede delle masse o dei noduli all’interno del fegato che debbono essere asportati.
Quali sono i vantaggi della laparoscopia in chirurgia del fegato?
I vantaggi della mini-invasività nella chirurgia addominale (e quindi nella chirurgia del fegato) sono numerosi:
Vantaggi di tipo clinico:
- Riduzione del dolore post-operatorio per l’assenza di grandi cicatrici nella pancia;
- Riduzione del tempo di disfunzione post-chirurgico dell’intestino (è possibile la ripresa dell’alimentazione poco dopo l’intervento)
- Riduzione della degenza in ospedale
Vantaggi di tipo estetico:
- Assenza di grandi cicatrici nella pancia
- Possibilità di estrarre il materiale da asportare con l’intervento attraverso l’esecuzione di tagli nella pancia in zone che possono essere poco visibili o mascherate dai più comuni indumenti.
Bisogna però anche sottolineare che, a causa della maggiore complessità tecnica, gli interventi eseguiti per via laparoscopica hanno spesso una durata maggiore rispetto a quelli eseguiti “a pancia aperta”.
Quali sono le possibili complicanze della laparoscopia epatica?
Durante gli interventi di chirurgia epatica laparoscopica possono verificarsi tutti i problemi che possono insorgere anche in interventi “a pancia aperta”. Ad esempio: sanguinamenti, rotture di organi interni, ecc..
Quasi tutti questi problemi possono comunque essere ben controllati sempre usando tecniche laparoscopiche.
Quando, invece, con la laparoscopia è difficile se non impossibile risolvere questi problemi, è sempre possibile convertire l’intervento da laparoscopico a laparotomico.
In altre parole, si interrompono le azioni chirurgiche eseguite con il laparoscopio e gli altri strumenti laparoscopici, si interrompe il flusso di anidride carbonica che serve a “gonfiare” la pancia e si pratica la consueta incisione della parete addominale per completare l’intervento con i sistemi tradizionali e sotto visione diretta.
Si può fare l'ecografia intraoperatoria durante gli interventi laparoscopici sul fegato?
Sì.
Durante gli interventi eseguiti con tecniche mini-invasive (laparoscopiche o robotiche) è possibile eseguire l’ecografia intraoperatoria con sonde costruite apposta.
L’ecografia intraoperatoria:
- consente di vedere se il tumore o i tumori che debbono essere rimossi sono esattamente gli stessi di quelli visti alle indagini pre-operatorie,
- consente di verificarne i rapporti con le strutture vascolari che sono all’interno del fegato e
- consente di guidare il taglio che fa il chirurgo nel fegato nella maniera pianificata prima dell’operazione.
Le resezioni laparoscopiche sono difficili?
La necessità di usare strumenti laparoscopici e di non poter maneggiare il fegato ha oggettivamente modificato l’approccio a questo particolare organo. Alcuni interventi laparoscopici presentano un grado di difficoltà basso, altri sono più complessi.
Il primo metodo per “misurare” il grado di difficoltà di una resezione epatica laparoscopica è stato il “punteggio di Ban”, denominato anche “IWATE score”. Puoi seguire il link per andare alla pagina che offre la descrizione di questo sistema e la possibilità di valutare online la difficoltà della resezione epatica laparoscopica che si sta pianificando o che è già stata eseguita.
- Ultimo aggiornamento della pagina: 10/06/2023
Linee Guida per la Chirurgia Epatobiliare
2022
Wakabayashi G; Cherqui D; Geller D A; Hilal M A; Berardi G; Ciria R; Abe Y; Aoki T; Asbun H; Chan A C Y; Chanwat R; Chen K; Chen Y; Cheung T T; Fuks D; Gotohda N; Han H; Hasegawa K; Hatano E; Honda G; Itano O; Iwashita Y; Kaneko H; Kato Y; Kim J; Liu R; López-Ben S; Morimoto M; Monden K; Rotellar F; Sakamoto Y; Sugioka A; Yoshiizumi T; Akahoshi K; Alconchel F; Ariizumi S; Cacciaguerra A B; Durán M; Vazquez A G; Golse N; Miyasaka Y; Mori Y; Ogiso S; Shirata C; Tomassini F; Urade T; Wakabayashi T; Nishino H; Hibi T; Kokudo N; Ohtsuka M; Ban D; Nagakawa Y; Ohtsuka T; Tanabe M; Nakamura M; Tsuchida A; Yamamoto M
The Tokyo 2020 terminology of liver anatomy and resections: Updates of the Brisbane 2000 system Journal Article
In: Journal of Hepato-Biliary-Pancreatic Sciences, vol. 29, no. 1, pp. 6 – 15, 2022, ISSN: 18686974, (Cited by: 6).
@article{Wakabayashi20226,
title = {The Tokyo 2020 terminology of liver anatomy and resections: Updates of the Brisbane 2000 system},
author = {Go Wakabayashi and Daniel Cherqui and David A. Geller and Mohammed Abu Hilal and Giammauro Berardi and Ruben Ciria and Yuta Abe and Takeshi Aoki and Horacio J. Asbun and Albert C. Y. Chan and Rawisak Chanwat and Kuo-Hsin Chen and Yajin Chen and Tan To Cheung and David Fuks and Naoto Gotohda and Ho-Seong Han and Kiyoshi Hasegawa and Etsuro Hatano and Goro Honda and Osamu Itano and Yukio Iwashita and Hironori Kaneko and Yutaro Kato and Ji Hoon Kim and Rong Liu and Santiago López-Ben and Mamoru Morimoto and Kazuteru Monden and Fernando Rotellar and Yoshihiro Sakamoto and Atsushi Sugioka and Tomoharu Yoshiizumi and Keiichi Akahoshi and Felipe Alconchel and Shunichi Ariizumi and Andrea Benedetti Cacciaguerra and Manuel Durán and Alain Garcia Vazquez and Nicolas Golse and Yoshihiro Miyasaka and Yasuhisa Mori and Satoshi Ogiso and Chikara Shirata and Federico Tomassini and Takeshi Urade and Taiga Wakabayashi and Hitoe Nishino and Taizo Hibi and Norihiro Kokudo and Masayuki Ohtsuka and Daisuke Ban and Yuichi Nagakawa and Takao Ohtsuka and Minoru Tanabe and Masafumi Nakamura and Akihiko Tsuchida and Masakazu Yamamoto},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85123901612&doi=10.1002%2fjhbp.1091&partnerID=40&md5=6f9e9231b8cbd8b84b02db4d4c118e4c},
doi = {10.1002/jhbp.1091},
issn = {18686974},
year = {2022},
date = {2022-01-01},
urldate = {2022-01-01},
journal = {Journal of Hepato-Biliary-Pancreatic Sciences},
volume = {29},
number = {1},
pages = {6 – 15},
publisher = {John Wiley and Sons Inc},
abstract = {Background: The Brisbane 2000 Terminology for Liver Anatomy and Resections, based on Couinaud’s segments, did not address how to identify segmental borders and anatomic territories of less than one segment. Smaller anatomic resections including segmentectomies and subsegmentectomies, have not been well defined. The advent of minimally invasive liver resection has enhanced the possibilities of more precise resection due to a magnified view and reduced bleeding, and minimally invasive anatomic liver resection (MIALR) is becoming popular gradually. Therefore, there is a need for updating the Brisbane 2000 system, including anatomic segmentectomy or less. An online "Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (PAM-HBP Surgery Consensus)" was hosted on February 23, 2021. Methods: The Steering Committee invited 34 international experts from around the world. The Expert Committee (EC) selected 12 questions and two future research topics in the terminology session. The EC created seven tentative definitions and five recommendations based on the experts’ opinions and the literature review performed by the Research Committee. Two Delphi Rounds finalized those definitions and recommendations. Results: This paper presents seven definitions and five recommendations regarding anatomic segmentectomy or less. In addition, two future research topics are discussed. Conclusions: The PAM-HBP Surgery Consensus has presented the Tokyo 2020 Terminology for Liver Anatomy and Resections. The terminology has added definitions of liver anatomy and resections that were not defined in the Brisbane 2000 system. © 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery},
note = {Cited by: 6},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2021
Nagino M; DeMatteo R; Lang H; Cherqui D; Malago M; Kawakatsu S; DeOliveira M L; Adam R; Aldrighetti L; Boudjema K; Chapman W; Clary B; Santibañes E; Dong J; Ebata T; Endo I; Geller D; Guglielmi A; Kato T; Lee S; Lodge P; Nadalin S; Pinna A; Polak W; Soubrane O; Clavien P
Proposal of a New Comprehensive Notation for Hepatectomy: The “New World” Terminology. Journal Article
In: Annals of surgery, vol. 274, no. 1, pp. 1 – 3, 2021, ISSN: 15281140, (Cited by: 19).
@article{Nagino20211,
title = {Proposal of a New Comprehensive Notation for Hepatectomy: The “New World” Terminology.},
author = {Masato Nagino and Ronald DeMatteo and Hauke Lang and Daniel Cherqui and Massimo Malago and Shoji Kawakatsu and Michelle L. DeOliveira and René Adam and Luca Aldrighetti and Karim Boudjema and William Chapman and Bryan Clary and Eduardo Santibañes and Jiahong Dong and Tomoki Ebata and Itaru Endo and David Geller and Alfredo Guglielmi and Tomoaki Kato and Sung-Gyu Lee and Peter Lodge and Silvio Nadalin and Antonio Pinna and Wojciech Polak and Olivier Soubrane and Pierre-Alain Clavien},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85108024104&doi=10.1097%2fSLA.0000000000004808&partnerID=40&md5=9da2460f0c3f3e0fe36fd600e7032d8d},
doi = {10.1097/SLA.0000000000004808},
issn = {15281140},
year = {2021},
date = {2021-01-01},
urldate = {2021-01-01},
journal = {Annals of surgery},
volume = {274},
number = {1},
pages = {1 – 3},
publisher = {NLM (Medline)},
note = {Cited by: 19},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Wang X; Teh C S C; Ishizawa T; Aoki T; Cavallucci D; Lee S; Panganiban K M; Perini M V; Shah S R; Wang H; Xu Y; Suh K; Kokudo N
Consensus Guidelines for the Use of Fluorescence Imaging in Hepatobiliary Surgery Journal Article
In: Annals of surgery, vol. 274, no. 1, pp. 97 – 106, 2021, ISSN: 15281140, (Cited by: 30).
@article{Wang202197,
title = {Consensus Guidelines for the Use of Fluorescence Imaging in Hepatobiliary Surgery},
author = {Xiaoying Wang and Catherine S C Teh and Takeaki Ishizawa and Takeshi Aoki and David Cavallucci and Ser-Yee Lee and Katherine M. Panganiban and Marcos V. Perini and Sudeep R. Shah and Hongguang Wang and Yinzhe Xu and Kyung-Suk Suh and Norihiro Kokudo},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85105385798&doi=10.1097%2fSLA.0000000000004718&partnerID=40&md5=a88db25d451b046b430edd839c2dc3ee},
doi = {10.1097/SLA.0000000000004718},
issn = {15281140},
year = {2021},
date = {2021-01-01},
urldate = {2021-01-01},
journal = {Annals of surgery},
volume = {274},
number = {1},
pages = {97 – 106},
publisher = {NLM (Medline)},
abstract = {OBJECTIVE: To establish consensus recommendations for the use of fluorescence imaging with indocyanine green (ICG) in hepatobiliary surgery. BACKGROUND: ICG fluorescence imaging has gained popularity in hepatobiliary surgery in recent years. However, there is varied evidence on the use, dosage, and timing of administration of ICG in clinical practice. To standardize the use of this imaging modality in hepatobiliary surgery, a panel of pioneering experts from the Asia-Pacific region sought to establish a set of consensus recommendations by consolidating the available evidence and clinical experiences. METHODS: A total of 13 surgeons experienced in hepatobiliary surgery and/or minimally invasive surgery formed an expert consensus panel in Shanghai, China in October 2018. By the modified Delphi method, they presented the relevant evidence, discussed clinical experiences, and derived consensus statements on the use of ICG in hepatobiliary surgery. Each statement was discussed and modified until a unanimous consensus was achieved. RESULTS: A total of 7 recommendations for the clinical applications of ICG in hepatobiliary surgery were formulated. CONCLUSIONS: The Shanghai consensus recommendations offer practical tips and techniques to augment the safety and technical feasibility of ICG fluorescence-guided hepatobiliary surgery, including laparoscopic cholecystectomy, liver segmentectomy, and liver transplantation. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.},
note = {Cited by: 30},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2020
Franchi E; Donadon M; Torzilli G
Effects of volume on outcome in hepatobiliary surgery: a review with guidelines proposal Journal Article
In: Glob Health Med, vol. 2, no. 5, pp. 292–297, 2020, ISSN: 2434-9194.
@article{pmid33330823,
title = {Effects of volume on outcome in hepatobiliary surgery: a review with guidelines proposal},
author = {Eloisa Franchi and Matteo Donadon and Guido Torzilli},
doi = {10.35772/ghm.2020.01013},
issn = {2434-9194},
year = {2020},
date = {2020-10-01},
urldate = {2020-10-01},
journal = {Glob Health Med},
volume = {2},
number = {5},
pages = {292--297},
abstract = {The positive relationship between volume and outcome in hepatobiliary surgery has been demonstrated for many years. As for other complex surgical procedures, both improved short- and long-term outcomes have been associated with a higher volume of procedures. However, whether the centralization of complex hepatobiliary procedures makes full sense because it should be associated with higher quality of care, as reported in the literature, precise criteria on what to centralize, where to centralize, and who should be entitled to perform complex procedures are still missing. Indeed, despite the generalized consensus on centralization in hepatobiliary surgery, this topic remains very complex because many determinants are involved in such a centralization process, of which some of them cannot be easily controlled. In the context of different health systems worldwide, such as national health systems and private insurance, there are different stakeholders that demand different needs: politicians, patients, surgeons, institutions and medical associations do not always have the same needs. Starting from a review of the literature on centralization in hepatobiliary surgery, we will propose some guidelines that, while not data-driven due to low evidence in the literature, will be based on good clinical practice.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Fang C; An J; Bruno A; Cai X; Fan J; Fujimoto J; Golfieri R; Hao X; Jiang H; Jiao L R; Kulkarni A V; Lang H; Lesmana C R A; Li Q; Liu L; Liu Y; Lau W; Lu Q; Man K; Maruyama H; Mosconi C; Örmeci N; Pavlides M; Rezende G; Sohn J H; Treeprasertsuk S; Vilgrain V; Wen H; Wen S; Quan X; Ximenes R; Yang Y; Zhang B; Zhang W; Zhang P; Zhang S; Qi X
Consensus recommendations of three-dimensional visualization for diagnosis and management of liver diseases Journal Article
In: Hepatology International, vol. 14, no. 4, pp. 437 – 453, 2020, ISSN: 19360533, (Cited by: 31; All Open Access, Green Open Access, Hybrid Gold Open Access).
@article{Fang2020437,
title = {Consensus recommendations of three-dimensional visualization for diagnosis and management of liver diseases},
author = {Chihua Fang and Jihyun An and Antonio Bruno and Xiujun Cai and Jia Fan and Jiro Fujimoto and Rita Golfieri and Xishan Hao and Hongchi Jiang and Long R. Jiao and Anand V. Kulkarni and Hauke Lang and Cosmas Rinaldi A. Lesmana and Qiang Li and Lianxin Liu and Yingbin Liu and Wanyee Lau and Qiping Lu and Kwan Man and Hitoshi Maruyama and Cristina Mosconi and Necati Örmeci and Michael Pavlides and Guilherme Rezende and Joo Hyun Sohn and Sombat Treeprasertsuk and Valérie Vilgrain and Hao Wen and Sai Wen and Xianyao Quan and Rafael Ximenes and Yinmo Yang and Bixiang Zhang and Weiqi Zhang and Peng Zhang and Shaoxiang Zhang and Xiaolong Qi},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85087609785&doi=10.1007%2fs12072-020-10052-y&partnerID=40&md5=bcbb629f80465ca27b81b8112b76e9a8},
doi = {10.1007/s12072-020-10052-y},
issn = {19360533},
year = {2020},
date = {2020-01-01},
urldate = {2020-01-01},
journal = {Hepatology International},
volume = {14},
number = {4},
pages = {437 – 453},
publisher = {Springer},
abstract = {Three-dimensional (3D) visualization involves feature extraction and 3D reconstruction of CT images using a computer processing technology. It is a tool for displaying, describing, and interpreting 3D anatomy and morphological features of organs, thus providing intuitive, stereoscopic, and accurate methods for clinical decision-making. It has played an increasingly significant role in the diagnosis and management of liver diseases. Over the last decade, it has been proven safe and effective to use 3D simulation software for pre-hepatectomy assessment, virtual hepatectomy, and measurement of liver volumes in blood flow areas of the portal vein; meanwhile, the use of 3D models in combination with hydrodynamic analysis has become a novel non-invasive method for diagnosis and detection of portal hypertension. We herein describe the progress of research on 3D visualization, its workflow, current situation, challenges, opportunities, and its capacity to improve clinical decision-making, emphasizing its utility for patients with liver diseases. Current advances in modern imaging technologies have promised a further increase in diagnostic efficacy of liver diseases. For example, complex internal anatomy of the liver and detailed morphological features of liver lesions can be reflected from CT-based 3D models. A meta-analysis reported that the application of 3D visualization technology in the diagnosis and management of primary hepatocellular carcinoma has significant or extremely significant differences over the control group in terms of intraoperative blood loss, postoperative complications, recovery of postoperative liver function, operation time, hospitalization time, and tumor recurrence on short-term follow-up. However, the acquisition of high-quality CT images and the use of these images for 3D visualization processing lack a unified standard, quality control system, and homogeneity, which might hinder the evaluation of application efficacy in different clinical centers, causing enormous inconvenience to clinical practice and scientific research. Therefore, rigorous operating guidelines and quality control systems need to be established for 3D visualization of liver to develop it to become a mature technology. Herein, we provide recommendations for the research on diagnosis and management of 3D visualization in liver diseases to meet this urgent need in this research field. © 2020, The Author(s).},
note = {Cited by: 31; All Open Access, Green Open Access, Hybrid Gold Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2016
Oldhafer K J; Stavrou G A; Gulik T M V; Santibanes E D; Malago M; Schadde E; Hernandez-Alejandro R; Kokudo N; Aloia T A; Abdalla E; Linecker M; Clavien P
ALPPS - Where do we stand, where do we go? Eight recommendations from the first international expert meeting Journal Article
In: Annals of Surgery, vol. 263, no. 5, pp. 839 – 841, 2016, ISSN: 00034932, (Cited by: 72).
@article{Oldhafer2016839,
title = {ALPPS - Where do we stand, where do we go? Eight recommendations from the first international expert meeting},
author = {Karl J. Oldhafer and Gregor A. Stavrou and Thomas M. Van Gulik and Eduardo De Santibanes and Massimo Malago and Erik Schadde and Roberto Hernandez-Alejandro and Norihiro Kokudo and Thomas A. Aloia and Eddie Abdalla and Michael Linecker and Pierre-Alain Clavien},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954349162&doi=10.1097%2fSLA.0000000000001633&partnerID=40&md5=ca8561df7687e0cbca254010764f2404},
doi = {10.1097/SLA.0000000000001633},
issn = {00034932},
year = {2016},
date = {2016-01-01},
urldate = {2016-01-01},
journal = {Annals of Surgery},
volume = {263},
number = {5},
pages = {839 – 841},
publisher = {Lippincott Williams and Wilkins},
note = {Cited by: 72},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2013
Bismuth H
Revisiting liver anatomy and terminology of hepatectomies Journal Article
In: Annals of Surgery, vol. 257, no. 3, pp. 383 – 386, 2013, ISSN: 15281140, (Cited by: 63).
@article{Bismuth2013383,
title = {Revisiting liver anatomy and terminology of hepatectomies},
author = {Henri Bismuth},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84873910931&doi=10.1097%2fSLA.0b013e31827f171f&partnerID=40&md5=ff485d490eb33b4bbf7bbf71e1cf8494},
doi = {10.1097/SLA.0b013e31827f171f},
issn = {15281140},
year = {2013},
date = {2013-01-01},
urldate = {2013-01-01},
journal = {Annals of Surgery},
volume = {257},
number = {3},
pages = {383 – 386},
abstract = {Background:: Since the development of liver surgery, several descriptions of liver anatomical division and hepatectomies have been made, causing some confusion among surgeons. METHODS:: The initial anatomical description according to Couinaud is reviewed and corrected taking into account the descriptions made in the following decades. RESULTS:: It seems that by reviewing the description of the different authors, a precise anatomical division of the liver may be achieved and a simple terminology of hepatectomies may be proposed. CONCLUSIONS:: It is hoped that the proposal of this anatomical description and this terminology of hepatectomies may find a consensus among the liver surgical community from America, Asia, and Europe. © 2013 by Lippincott Williams & Wilkins.},
note = {Cited by: 63},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2011
Koch M; Garden O J; Padbury R; Rahbari N N; Adam R; Capussotti L; Fan S T; Yokoyama Y; Crawford M; Makuuchi M; Christophi C; Banting S; Brooke-Smith M; Usatoff V; Nagino M; Maddern G; Hugh T J; Vauthey J; Greig P; Rees M; Nimura Y; Figueras J; Dematteo R P; Büchler M W; Weitz J
Bile leakage after hepatobiliary and pancreatic surgery: A definition and grading of severity by the International Study Group of Liver Surgery Journal Article
In: Surgery, vol. 149, no. 5, pp. 680 – 688, 2011, ISSN: 00396060, (Cited by: 922).
@article{Koch2011680,
title = {Bile leakage after hepatobiliary and pancreatic surgery: A definition and grading of severity by the International Study Group of Liver Surgery},
author = {Moritz Koch and O. James Garden and Robert Padbury and Nuh N. Rahbari and Rene Adam and Lorenzo Capussotti and Sheung Tat Fan and Yukihiro Yokoyama and Michael Crawford and Masatoshi Makuuchi and Christopher Christophi and Simon Banting and Mark Brooke-Smith and Val Usatoff and Masato Nagino and Guy Maddern and Thomas J. Hugh and Jean-Nicolas Vauthey and Paul Greig and Myrddin Rees and Yuji Nimura and Joan Figueras and Ronald P. Dematteo and Markus W. Büchler and Jürgen Weitz},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-79954631448&doi=10.1016%2fj.surg.2010.12.002&partnerID=40&md5=03a3984fc9b28e491c0fc8aea01a094a},
doi = {10.1016/j.surg.2010.12.002},
issn = {00396060},
year = {2011},
date = {2011-01-01},
urldate = {2011-01-01},
journal = {Surgery},
volume = {149},
number = {5},
pages = {680 – 688},
abstract = {Background: Despite the potentially severe impact of bile leakage on patients' perioperative and long-term outcome, a commonly used definition of this complication after hepatobiliary and pancreatic operations has not yet been established. The aim of the present article is to propose a uniform definition and severity grading of bile leakage after hepatobiliary and pancreatic operative therapy. Methods: An international study group of hepatobiliary and pancreatic surgeons was convened. A consensus definition of bile leakage after hepatobiliary and pancreatic operative therapy was developed based on the postoperative course of bilirubin concentrations in patients' serum and drain fluid. Results: After evaluation of the postoperative course of bilirubin levels in the drain fluid of patients who underwent hepatobiliary and pancreatic operations, bile leakage was defined as bilirubin concentration in the drain fluid at least 3 times the serum bilirubin concentration on or after postoperative day 3 or as the need for radiologic or operative intervention resulting from biliary collections or bile peritonitis. Using this criterion severity of bile leakage was classified according to its impact on patients' clinical management. Grade A bile leakage causes no change in patients' clinical management. A Grade B bile leakage requires active therapeutic intervention but is manageable without relaparotomy, whereas in Grade C, bile leakage relaparotomy is required. Conclusion: We propose a simple definition and severity grading of bile leakage after hepatobiliary and pancreatic operative therapy. The application of the present proposal will enable a standardized comparison of the results of different clinical trials and may facilitate an objective evaluation of diagnostic and therapeutic modalities in the field of hepatobiliary and pancreatic operative therapy. © 2011 Mosby, Inc.},
note = {Cited by: 922},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Rahbari N N; Garden O J; Padbury R; Brooke-Smith M; Crawford M; Adam R; Koch M; Makuuchi M; Dematteo R P; Christophi C; Banting S; Usatoff V; Nagino M; Maddern G; Hugh T J; Vauthey J; Greig P; Rees M; Yokoyama Y; Fan S T; Nimura Y; Figueras J; Capussotti L; Büchler M W; Weitz J
Posthepatectomy liver failure: A definition and grading by the International Study Group of Liver Surgery (ISGLS) Journal Article
In: Surgery, vol. 149, no. 5, pp. 713 – 724, 2011, ISSN: 00396060, (Cited by: 1234).
@article{Rahbari2011713b,
title = {Posthepatectomy liver failure: A definition and grading by the International Study Group of Liver Surgery (ISGLS)},
author = {Nuh N. Rahbari and O. James Garden and Robert Padbury and Mark Brooke-Smith and Michael Crawford and Rene Adam and Moritz Koch and Masatoshi Makuuchi and Ronald P. Dematteo and Christopher Christophi and Simon Banting and Val Usatoff and Masato Nagino and Guy Maddern and Thomas J. Hugh and Jean-Nicolas Vauthey and Paul Greig and Myrddin Rees and Yukihiro Yokoyama and Sheung Tat Fan and Yuji Nimura and Joan Figueras and Lorenzo Capussotti and Markus W. Büchler and Jürgen Weitz},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-79954634037&doi=10.1016%2fj.surg.2010.10.001&partnerID=40&md5=ee2737ef3993a9fda5725bfeff03d385},
doi = {10.1016/j.surg.2010.10.001},
issn = {00396060},
year = {2011},
date = {2011-01-01},
urldate = {2011-01-01},
journal = {Surgery},
volume = {149},
number = {5},
pages = {713 – 724},
abstract = {Background: Posthepatectomy liver failure is a feared complication after hepatic resection and a major cause of perioperative mortality. There is currently no standardized definition of posthepatectomy liver failure that allows valid comparison of results from different studies and institutions. The aim of the current article was to propose a definition and grading of severity of posthepatectomy liver failure. Methods: A literature search on posthepatectomy liver failure after hepatic resection was conducted. Based on the normal course of biochemical liver function tests after hepatic resection, a simple and easily applicable definition of posthepatectomy liver failure was developed by the International Study Group of Liver Surgery. Furthermore, a grading of severity is proposed based on the impact on patients' clinical management. Results: No uniform definition of posthepatectomy liver failure has been established in the literature addressing hepatic surgery. Considering the normal postoperative course of serum bilirubin concentration and International Normalized Ratio, we propose defining posthepatectomy liver failure as the impaired ability of the liver to maintain its synthetic, excretory, and detoxifying functions, which are characterized by an increased international normalized ratio and concomitant hyperbilirubinemia (according to the normal limits of the local laboratory) on or after postoperative day 5. The severity of posthepatectomy liver failure should be graded based on its impact on clinical management. Grade A posthepatectomy liver failure requires no change of the patient's clinical management. The clinical management of patients with grade B posthepatectomy liver failure deviates from the regular course but does not require invasive therapy. The need for invasive treatment defines grade C posthepatectomy liver failure. Conclusion: The current definition of posthepatectomy liver failure is simple and easily applicable in clinical routine. This definition can be used in future studies to allow objective and accurate comparisons of operative interventions in the field of hepatic surgery. © 2011 Mosby, Inc.},
note = {Cited by: 1234},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Rahbari N N; Garden O J; Padbury R; Maddern G; Koch M; Hugh T J; Fan S T; Nimura Y; Figueras J; Vauthey J; Rees M; Adam R; Dematteo R P; Greig P; Usatoff V; Banting S; Nagino M; Capussotti L; Yokoyama Y; Brooke-Smith M; Crawford M; Christophi C; Makuuchi M; Büchler M W; Weitz J
Post-hepatectomy haemorrhage: A definition and grading by the International Study Group of Liver Surgery (ISGLS) Journal Article
In: HPB, vol. 13, no. 8, pp. 528 – 535, 2011, ISSN: 1365182X, (Cited by: 212; All Open Access, Bronze Open Access, Green Open Access).
@article{Rahbari2011528,
title = {Post-hepatectomy haemorrhage: A definition and grading by the International Study Group of Liver Surgery (ISGLS)},
author = {Nuh N. Rahbari and O. James Garden and Robert Padbury and Guy Maddern and Moritz Koch and Thomas J. Hugh and Sheung Tat Fan and Yuji Nimura and Joan Figueras and Jean-Nicolas Vauthey and Myrddin Rees and Rene Adam and Ronald P. Dematteo and Paul Greig and Val Usatoff and Simon Banting and Masato Nagino and Lorenzo Capussotti and Yukihiro Yokoyama and Mark Brooke-Smith and Michael Crawford and Christopher Christophi and Masatoshi Makuuchi and Markus W. Büchler and Jürgen Weitz},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-79960563603&doi=10.1111%2fj.1477-2574.2011.00319.x&partnerID=40&md5=192d9ea9c6b2cd47f539e1383e6e191d},
doi = {10.1111/j.1477-2574.2011.00319.x},
issn = {1365182X},
year = {2011},
date = {2011-01-01},
urldate = {2011-01-01},
journal = {HPB},
volume = {13},
number = {8},
pages = {528 – 535},
publisher = {Blackwell Publishing Ltd},
abstract = {Background: A standardized definition of post-hepatectomy haemorrhage (PHH) has not yet been established. Methods: An international study group of hepatobiliary surgeons from high-volume centres was convened and a definition of PHH was developed together with a grading of severity considering the impact on patients' clinical management. Results: The definition of PHH varies strongly within the hepatic surgery literature. PHH is defined as a drop in haemoglobin level >3 g/dl post-operatively compared with the post-operative baseline level and/or any post-operative transfusion of packed red blood cells (PRBC) for a falling haemoglobin and/or the need for radiological intervention (such as embolization) and/or re-laparotomy to stop bleeding. Evidence of intra-abdominal bleeding should be obtained by imaging or blood loss via the abdominal drains if present. Transfusion of up to two units of PRBC is considered as being Grade A PHH. Grade B PHH requires transfusion of more than two units of PRBC, whereas the need for invasive re-intervention such as embolization and/ or re-laparotomy defines Grade C PHH. Conclusion: The proposed definition and grading of severity of PHH enables valid comparisons of results from different studies. It is easily applicable in clinical routine and should be applied in future trials to standardize reporting of complications. © 2011 International Hepato-Pancreato-Biliary Association.},
note = {Cited by: 212; All Open Access, Bronze Open Access, Green Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2005
Strasberg S M
Nomenclature of hepatic anatomy and resections: A review of the Brisbane 2000 system Journal Article
In: Journal of Hepato-Biliary-Pancreatic Surgery, vol. 12, no. 5, pp. 351 – 355, 2005, ISSN: 09441166, (Cited by: 598).
@article{Strasberg2005351,
title = {Nomenclature of hepatic anatomy and resections: A review of the Brisbane 2000 system},
author = {Steven M. Strasberg},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-27944465366&doi=10.1007%2fs00534-005-0999-7&partnerID=40&md5=40e30476f1199aa456d45f17063fe258},
doi = {10.1007/s00534-005-0999-7},
issn = {09441166},
year = {2005},
date = {2005-01-01},
urldate = {2005-01-01},
journal = {Journal of Hepato-Biliary-Pancreatic Surgery},
volume = {12},
number = {5},
pages = {351 – 355},
abstract = {The Brisbane 2000 system of nomenclature of hepatic anatomy and resections was introduced to provide a universal terminology in an area that was plagued by confusing and inappropriate terminology. The article describes historical developments central to the emergence of the new terminology and describes the terminology, its attributes, and rules of application. © Springer-Verlag Tokyo 2005.},
note = {Cited by: 598},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2000
Strasberg S M; Belghiti J; Clavien P -A; Gadzijev E; Garden J O; Lau W -Y; Makuuchi M; Strong R W
The Brisbane 2000 Terminology of Liver Anatomy and Resections Journal Article
In: HPB, vol. 2, no. 3, pp. 333-339, 2000, ISSN: 1365-182X.
@article{2000333,
title = {The Brisbane 2000 Terminology of Liver Anatomy and Resections},
author = {S. M. Strasberg and J. Belghiti and P. -A. Clavien and E. Gadzijev and J. O. Garden and W. -Y. Lau and M. Makuuchi and R. W. Strong},
url = {https://www.sciencedirect.com/science/article/pii/S1365182X17307554},
doi = {https://doi.org/10.1016/S1365-182X(17)30755-4},
issn = {1365-182X},
year = {2000},
date = {2000-01-01},
urldate = {2000-01-01},
journal = {HPB},
volume = {2},
number = {3},
pages = {333-339},
abstract = {Background
The Scientific Committee of the IHPBA, meeting in December 1998, created a Terminology Committee to deal with the confusion in nomenclature of hepatic anatomy and liver resections. A terminology was sought which was anatomically correct, in which anatomical and surgical terms agreed, and which was consistent, self-explanatory, linguistically correct, translatable, precise and concise.
Discussion
After 18 months the International Committee presented a terminology that was accepted by the IHPBA at the recent World Congress in Brisbane. The purpose of this paper is to present that terminology.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
The Scientific Committee of the IHPBA, meeting in December 1998, created a Terminology Committee to deal with the confusion in nomenclature of hepatic anatomy and liver resections. A terminology was sought which was anatomically correct, in which anatomical and surgical terms agreed, and which was consistent, self-explanatory, linguistically correct, translatable, precise and concise.
Discussion
After 18 months the International Committee presented a terminology that was accepted by the IHPBA at the recent World Congress in Brisbane. The purpose of this paper is to present that terminology.
1982
Bismuth H
Surgical anatomy and anatomical surgery of the liver Journal Article
In: World Journal of Surgery, vol. 6, no. 1, pp. 3 – 9, 1982, ISSN: 14322323, (Cited by: 604).
@article{Bismuth19823,
title = {Surgical anatomy and anatomical surgery of the liver},
author = {Henri Bismuth},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-0020328518&doi=10.1007%2fBF01656368&partnerID=40&md5=a167ed853588202ea3a324c9838386e5},
doi = {10.1007/BF01656368},
issn = {14322323},
year = {1982},
date = {1982-01-01},
urldate = {1982-01-01},
journal = {World Journal of Surgery},
volume = {6},
number = {1},
pages = {3 – 9},
publisher = {Springer-Verlag},
abstract = {The morphologic anatomy of the liver is described as 2 main and 2 accessory lobes. The more recent functional anatomy of the liver is based on the distribution of the portal pedicles and the location of the hepatic veins. The liver is divided into 4 sectors, some of them composed of 2 segments. In all, there are 8 segments. According to the anatomy, typical hepatectomies (or "réglées") are those which are performed along anatomical scissurae. The 2 main technical conceptions of typical hepatectomies are those with preliminary vascular control (Lortat-Jacob's technique) and hepatectomies with primary parenchymatous transection (Ton That Tung's technique). A good knowledge of the anatomy of the liver is a prerequisite for anatomical surgery of this organ. © 1982 Société Internationale de Chirurgie.},
note = {Cited by: 604},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Linee Guida per le Resezioni Epatiche Laparoscopiche
2022
Gotohda N; Cherqui D; Geller D A; Hilal M A; Berardi G; Ciria R; Abe Y; Aoki T; Asbun H; Chan A C Y; Chanwat R; Chen K; Chen Y; Cheung T T; Fuks D; Han H; Hasegawa K; Hatano E; Honda G; Itano O; Iwashita Y; Kaneko H; Kato Y; Kim J H; Liu R; López-Ben S; Morimoto M; Monden K; Rotellar F; Sakamoto Y; Sugioka A; Yoshiizumi T; Akahoshi K; Alconchel F; Ariizumi S; Cacciaguerra A B; Durán M; Vazquez A G; Golse N; Miyasaka Y; Mori Y; Ogiso S; Shirata C; Tomassini F; Urade T; Wakabayashi T; Nishino H; Hibi T; Kokudo N; Ohtsuka M; Ban D; Nagakawa Y; Ohtsuka T; Tanabe M; Nakamura M; Yamamoto M; Tsuchida A; Wakabayashi G
Expert Consensus Guidelines: How to safely perform minimally invasive anatomic liver resection Journal Article
In: Journal of Hepato-Biliary-Pancreatic Sciences, vol. 29, no. 1, pp. 16 – 32, 2022, ISSN: 18686974, (Cited by: 6).
@article{Gotohda202216,
title = {Expert Consensus Guidelines: How to safely perform minimally invasive anatomic liver resection},
author = {Naoto Gotohda and Daniel Cherqui and David A. Geller and Mohammed Abu Hilal and Giammauro Berardi and Ruben Ciria and Yuta Abe and Takeshi Aoki and Horacio J. Asbun and Albert C. Y. Chan and Rawisak Chanwat and Kuo-Hsin Chen and Yajin Chen and Tan To Cheung and David Fuks and Ho-Seong Han and Kiyoshi Hasegawa and Etsuro Hatano and Goro Honda and Osamu Itano and Yukio Iwashita and Hironori Kaneko and Yutaro Kato and Ji Hoon Kim and Rong Liu and Santiago López-Ben and Mamoru Morimoto and Kazuteru Monden and Fernando Rotellar and Yoshihiro Sakamoto and Atsushi Sugioka and Tomoharu Yoshiizumi and Keiichi Akahoshi and Felipe Alconchel and Shunichi Ariizumi and Andrea Benedetti Cacciaguerra and Manuel Durán and Alain Garcia Vazquez and Nicolas Golse and Yoshihiro Miyasaka and Yasuhisa Mori and Satoshi Ogiso and Chikara Shirata and Federico Tomassini and Takeshi Urade and Taiga Wakabayashi and Hitoe Nishino and Taizo Hibi and Norihiro Kokudo and Masayuki Ohtsuka and Daisuke Ban and Yuichi Nagakawa and Takao Ohtsuka and Minoru Tanabe and Masafumi Nakamura and Masakazu Yamamoto and Akihiko Tsuchida and Go Wakabayashi},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85120333965&doi=10.1002%2fjhbp.1079&partnerID=40&md5=0d8416f2da4ced3e0e385cddfa049f97},
doi = {10.1002/jhbp.1079},
issn = {18686974},
year = {2022},
date = {2022-01-01},
urldate = {2022-01-01},
journal = {Journal of Hepato-Biliary-Pancreatic Sciences},
volume = {29},
number = {1},
pages = {16 – 32},
publisher = {John Wiley and Sons Inc},
abstract = {Background: The concept of minimally invasive anatomic liver resection (MIALR) is gaining popularity. However, specific technical skills need to be acquired to safely perform MIALR. The “Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (PAM-HBP Surgery Consensus)” was developed as a special program during the 32nd meeting of the Japanese Society of Hepato-Biliary-Pancreatic Surgery (JSHBPS). Methods: Thirty-four international experts gathered online for the consensus. A Research Committee performed a comprehensive literature review, classifying studies according to the Scottish Intercollegiate Guidelines Network method. Based on the literature review and experts’ opinions, tentative recommendations were drafted and circulated among experts using online Delphi Rounds. Finally, formulated recommendations were presented online in the Expert Consensus Meeting of the JSHBPS on February 23rd, 2021. The final recommendations were validated and finalized by the 2nd Delphi Round in May 2021. Results: Seven clinical questions were selected, and 22 recommendations were formulated. All recommendations reached more than 85% consensus among experts at the final Delphi Round. Conclusions: The Expert Consensus Meeting for safely performing MIALR has presented a set of clinical guidelines based on available literature and experts’ opinions. We expect these guidelines to have a favorable effect on the safe implementation and development of MIALR. © 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery},
note = {Cited by: 6},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2021
Cherqui D; Ciria R; Kwon C H D; Kim K; Broering D; Wakabayashi G; Samstein B; Troisi R I; Han H S; Rotellar F; Soubrane O; Briceño J; Alconchel F; Ayllón M D; Berardi G; Cauchy F; Luque I G; Hong S K; Yoon Y; Egawa H; Lerut J; Lo C; Rela M; Sapisochin G; Suh K
In: Annals of Surgery, vol. 273, no. 1, pp. 96 – 108, 2021, ISSN: 00034932, (Cited by: 13).
@article{Cherqui202196,
title = {Expert consensus guidelines on minimally invasive donor hepatectomy for living donor liver transplantation from innovation to implementation: A joint initiative from the international laparoscopic liver society (ILLS) and the Asian-Pacific hepato-pancreato-biliary association (A-PHPBA)},
author = {Daniel Cherqui and Ruben Ciria and Choon Hyuck David Kwon and Ki-Hun Kim and Dieter Broering and Go Wakabayashi and Benjamin Samstein and Roberto I. Troisi and Ho Seong Han and Fernando Rotellar and Olivier Soubrane and Javier Briceño and Felipe Alconchel and María Dolores Ayllón and Giammauro Berardi and Francois Cauchy and Irene Gómez Luque and Suk Kyun Hong and Young-Yin Yoon and Hiroto Egawa and Jan Lerut and Chung-Mau Lo and Mohamed Rela and Gonzalo Sapisochin and Kyung-Suk Suh},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85098676552&doi=10.1097%2fSLA.0000000000004475&partnerID=40&md5=93cd12ffcabe36ce8cde34e0c0368823},
doi = {10.1097/SLA.0000000000004475},
issn = {00034932},
year = {2021},
date = {2021-01-01},
urldate = {2021-01-01},
journal = {Annals of Surgery},
volume = {273},
number = {1},
pages = {96 – 108},
publisher = {Lippincott Williams and Wilkins},
abstract = {Objective: The Expert Consensus Guidelines initiative on MIDH for LDLT was organized with the goal of safe implementation and development of these complex techniques with donor safety as the main priority. Background: Following the development of minimally invasive liver surgery, techniques of MIDH were developed with the aim of reducing the short- and long-term consequences of the procedure on liver donors. These techniques, although increasingly performed, lack clinical guidelines. Methods: A group of 12 international MIDH experts, 1 research coordinator, and 8 junior faculty was assembled. Comprehensive literature search was made and studies classified using the SIGN method. Based on literature review and experts opinions, tentative recommendations were made by experts subgroups and submitted to the whole experts group using on-line Delphi Rounds with the goal of obtaining >90% Consensus. Pre-conference meeting formulated final recommendations that were presented during the plenary conference held in Seoul on September 7, 2019 in front of a Validation Committee composed of LDLT experts not practicing MIDH and an international audience. Results: Eighteen Clinical Questions were addressed resulting in 44 recommendations. All recommendations reached at least a 90% consensus among experts and were afterward endorsed by the validation committee. Conclusions: The Expert Consensus on MIDH has produced a set of clinical guidelines based on available evidence and clinical expertise. These guidelines are presented for a safe implementation and development of MIDH in LDLT Centers with the goal of optimizing donor safety, donor care, and recipient outcomes. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.},
note = {Cited by: 13},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2018
Han H; Cho J Y; Kaneko H; Wakabayashi G; Okajima H; Uemoto S; Soubrane O; Yong C; Chen C; Cheung T T; Belli G; Kubo S; Wu Y; Chen K; Troisi R I; Kwon C H D; Suh K; Soin A S; Kim K; Cherqui D
Expert Panel Statement on Laparoscopic Living Donor Hepatectomy Journal Article
In: Digestive Surgery, vol. 35, no. 4, pp. 284 – 288, 2018, ISSN: 02534886, (Cited by: 37; All Open Access, Bronze Open Access).
@article{Han2018284,
title = {Expert Panel Statement on Laparoscopic Living Donor Hepatectomy},
author = {Ho-Seong Han and Jai Young Cho and Hironori Kaneko and Go Wakabayashi and Hideaki Okajima and Shinji Uemoto and Olivier Soubrane and Chee-Chien Yong and Chao-Long Chen and Tan To Cheung and Giulio Belli and Shoji Kubo and Yao-Ming Wu and Kuo-Hsin Chen and Roberto I. Troisi and Choon Hyuck David Kwon and Kyung-Suk Suh and Arvinder S. Soin and Ki-Hun Kim and Daniel Cherqui},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85031772566&doi=10.1159%2f000479242&partnerID=40&md5=127351114b501ad633d0b7031ab86108},
doi = {10.1159/000479242},
issn = {02534886},
year = {2018},
date = {2018-01-01},
urldate = {2018-01-01},
journal = {Digestive Surgery},
volume = {35},
number = {4},
pages = {284 – 288},
publisher = {S. Karger AG},
abstract = {Background: With improvements in living donor liver transplantation (LDLT) techniques and the increased experience of surgeons in laparoscopic major liver resection, laparoscopic donor hepatectomy is performed increasingly. Therefore, expert opinion on this procedure is required. Objective: The study aimed to report the current status and summarize the expert opinion on laparoscopic donor hepatectomy. Methods: An expert consensus meeting was held on September 8, 2016, in Seoul, Korea. Results: Laparoscopic donor left lateral sectionectomy could be considered the standard practice in pediatric LDLT. In adult LDLT, laparoscopy-assisted donor hepatectomy or left hepatectomy is potentially the next need, requiring more evidence for becoming standard practice. Laparoscopic donor right hepatectomy is still in the developmental stage, and more supporting evidence is required. Waving the cost consideration, the robotic approach could be a valid alternative for the suitable approaches of laparoscopy. Conclusions: Laparoscopic donor hepatectomy is increasing its role in both pediatric and adult LDLT. However, for major donor hepatectomy, more evidence is needed. © 2017 S. Karger AG, Basel.},
note = {Cited by: 37; All Open Access, Bronze Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Hilal M A; Aldrighetti L; Dagher I; Edwin B; Troisi R I; Alikhanov R; Aroori S; Belli G; Besselink M; Briceno J; Gayet B; D'Hondt M; Lesurtel M; Menon K; Lodge P; Rotellar F; Santoyo J; Scatton O; Soubrane O; Sutcliffe R; Dam R V; White S; Halls M C; Cipriani F; Poel M V D; Ciria R; Barkhatov L; Gomez-Luque Y; Ocana-Garcia S; Cook A; Buell J; Clavien P; Dervenis C; Fusai G; Geller D; Lang H; Primrose J; Taylor M; Gulik T V; Wakabayashi G; Asbun H; Cherqui D
The Southampton Consensus Guidelines for Laparoscopic Liver Surgery: From Indication to Implementation Journal Article
In: Annals of Surgery, vol. 268, no. 1, pp. 11 – 18, 2018, ISSN: 00034932, (Cited by: 300; All Open Access, Green Open Access).
@article{Hilal201811,
title = {The Southampton Consensus Guidelines for Laparoscopic Liver Surgery: From Indication to Implementation},
author = {Mohammad Abu Hilal and Luca Aldrighetti and Ibrahim Dagher and Bjorn Edwin and Roberto Ivan Troisi and Ruslan Alikhanov and Somaiah Aroori and Giulio Belli and Marc Besselink and Javier Briceno and Brice Gayet and Mathieu D'Hondt and Mickael Lesurtel and Krishna Menon and Peter Lodge and Fernando Rotellar and Julio Santoyo and Olivier Scatton and Olivier Soubrane and Robert Sutcliffe and Ronald Van Dam and Steve White and Mark Christopher Halls and Federica Cipriani and Marcel Van Der Poel and Ruben Ciria and Leonid Barkhatov and Yrene Gomez-Luque and Sira Ocana-Garcia and Andrew Cook and Joseph Buell and Pierre-Alain Clavien and Christos Dervenis and Giuseppe Fusai and David Geller and Hauke Lang and John Primrose and Mark Taylor and Thomas Van Gulik and Go Wakabayashi and Horacio Asbun and Daniel Cherqui},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050192036&doi=10.1097%2fSLA.0000000000002524&partnerID=40&md5=bbabf9a6655466fb4d0d1ab48dea99a6},
doi = {10.1097/SLA.0000000000002524},
issn = {00034932},
year = {2018},
date = {2018-01-01},
urldate = {2018-01-01},
journal = {Annals of Surgery},
volume = {268},
number = {1},
pages = {11 – 18},
publisher = {Lippincott Williams and Wilkins},
abstract = {Objective: The European Guidelines Meeting on Laparoscopic Liver Surgery was held in Southampton on February 10 and 11, 2017 with the aim of presenting and validating clinical practice guidelines for laparoscopic liver surgery. Background: The exponential growth of laparoscopic liver surgery in recent years mandates the development of clinical practice guidelines to direct the speciality's continued safe progression and dissemination. Methods: A unique approach to the development of clinical guidelines was adopted. Three well-validated methods were integrated: the Scottish Intercollegiate Guidelines Network methodology for the assessment of evidence and development of guideline statements; the Delphi method of establishing expert consensus, and the AGREE II-GRS Instrument for the assessment of the methodological quality and external validation of the final statements. Results: Along with the committee chairman, 22 European experts; 7 junior experts and an independent validation committee of 11 international surgeons produced 67 guideline statements for the safe progression and dissemination of laparoscopic liver surgery. Each of the statements reached at least a 95% consensus among the experts and were endorsed by the independent validation committee. Conclusion: The European Guidelines Meeting for Laparoscopic Liver Surgery has produced a set of clinical practice guidelines that have been independently validated for the safe development and progression of laparoscopic liver surgery. The Southampton Guidelines have amalgamated the available evidence and a wealth of experts' knowledge taking in consideration the relevant stakeholders' opinions and complying with the international methodology standards. © 2017 Wolters Kluwer Health, Inc. All rights reserved.},
note = {Cited by: 300; All Open Access, Green Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Cho J Y; Han H; Wakabayashi G; Soubrane O; Geller D; O'Rourke N; Buell J; Cherqui D
Practical guidelines for performing laparoscopic liver resection based on the second international laparoscopic liver consensus conference Journal Article
In: Surgical Oncology, vol. 27, no. 1, pp. A5 – A9, 2018, ISSN: 09607404, (Cited by: 43; All Open Access, Hybrid Gold Open Access).
@article{Cho2018A5,
title = {Practical guidelines for performing laparoscopic liver resection based on the second international laparoscopic liver consensus conference},
author = {Jai Young Cho and Ho-Seong Han and Go Wakabayashi and Olivier Soubrane and David Geller and Nicholas O'Rourke and Joseph Buell and Daniel Cherqui},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044851854&doi=10.1016%2fj.suronc.2017.12.003&partnerID=40&md5=fce5f9f32549843fbb11f0211caa976b},
doi = {10.1016/j.suronc.2017.12.003},
issn = {09607404},
year = {2018},
date = {2018-01-01},
urldate = {2018-01-01},
journal = {Surgical Oncology},
volume = {27},
number = {1},
pages = {A5 – A9},
publisher = {Elsevier Ltd},
abstract = {Laparoscopic liver resection is rapidly increasing, and certain types of resection are considered standard procedures for liver resection, especially for small malignant tumors located on the liver surface or in the anterolateral segments of the liver. Several specialized centers have performed many types of highly complex hepatectomies, anatomical resections, and laparoscopic donor hepatectomies. Even though several international consensus conferences and expert meetings have been held, until now there have been no practical guidelines for beginners or experts conducting laparoscopic liver resection. We describe here practical guidelines for performing laparoscopic liver resection, including the indications, technical considerations, and training required. © 2018 The Authors},
note = {Cited by: 43; All Open Access, Hybrid Gold Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2015
Wakabayashi G; Cherqui D; Geller D A; Buell J F; Kaneko H; Han H S; Asbun H; O'Rourke N; Tanabe M; Koffron A J; Tsung A; Soubrane O; Machado M A; Gayet B; Troisi R I; Pessaux P; Dam R M V; Scatton O; Hilal M A; Belli G; Kwon C H D; Edwin B; Choi G H; Aldrighetti L A; Cai X; Cleary S; Chen K; Schön M R; Sugioka A; Tang C; Herman P; Pekolj J; Chen X; Dagher I; Jarnagin W; Yamamoto M; Strong R; Jagannath P; Lo C; Clavien P; Kokudo N; Barkun J; Strasberg S M
Recommendations for laparoscopic liver resection: A report from the second international consensus conference held in morioka Journal Article
In: Annals of Surgery, vol. 261, no. 4, pp. 619 – 629, 2015, ISSN: 00034932, (Cited by: 831).
@article{Wakabayashi2015619,
title = {Recommendations for laparoscopic liver resection: A report from the second international consensus conference held in morioka},
author = {Go Wakabayashi and Daniel Cherqui and David A. Geller and Joseph F. Buell and Hironori Kaneko and Ho Seong Han and Horacio Asbun and Nicholas O'Rourke and Minoru Tanabe and Alan J. Koffron and Allan Tsung and Olivier Soubrane and Marcel Autran Machado and Brice Gayet and Roberto I. Troisi and Patrick Pessaux and Ronald M. Van Dam and Olivier Scatton and Mohammad Abu Hilal and Giulio Belli and Choon Hyuck David Kwon and Bjørn Edwin and Gi Hong Choi and Luca Antonio Aldrighetti and Xiujun Cai and Sean Cleary and Kuo-Hsin Chen and Michael R. Schön and Atsushi Sugioka and Chung-Ngai Tang and Paulo Herman and Juan Pekolj and Xiao-Ping Chen and Ibrahim Dagher and William Jarnagin and Masakazu Yamamoto and Russell Strong and Palepu Jagannath and Chung-Mau Lo and Pierre-Alain Clavien and Norihiro Kokudo and Jeffrey Barkun and Steven M. Strasberg},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84988493384&doi=10.1097%2fSLA.0000000000001184&partnerID=40&md5=0fb460d25e7ad44fd9e6b29fbdbd5c62},
doi = {10.1097/SLA.0000000000001184},
issn = {00034932},
year = {2015},
date = {2015-01-01},
urldate = {2015-01-01},
journal = {Annals of Surgery},
volume = {261},
number = {4},
pages = {619 – 629},
publisher = {Lippincott Williams and Wilkins},
abstract = {The use of laparoscopy for liver surgery is increasing rapidly. The Second International Consensus Conference on Laparoscopic Liver Resections (LLR) was held in Morioka, Japan, from October 4 to 6, 2014 to evaluate the current status of laparoscopic liver surgery and to provide recommendations to aid its future development. Seventeen questions were addressed. The first 7 questions focused on outcomes that reflect the benefits and risks of LLR. These questions were addressed using the Zurich-Danish consensus conference model inwhich the literature and expert opinion were weighed by a 9-member jury, who evaluated LLR outcomes using GRADE and a list of comparators. The jury also graded LLRs by the Balliol Classification of IDEAL. The jury concluded that MINORLLRs had become standard practice (IDEAL 3) and thatMAJORliver resections were still innovative procedures in the exploration phase (IDEAL 2b). Continued cautious introduction of MAJOR LLRswas recommended. All of the evidence available for scrutiny was of LOWquality by GRADE, which prompted the recommendation for higher quality evaluative studies. The last 10 questions focused on technical questions and the recommendations were based on literature review and expert panel opinion. Recommendations were made regarding preoperative evaluation, bleeding controls, transection methods, anatomic approaches, and equipment. Both experts and jury recognized the need for a formal structure of education for those interested in performing major laparoscopic LLR because of the steep learning curve. Copyright © 2015 Wolters Kluwer Health, Inc.},
note = {Cited by: 831},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2009
Buell J F; Cherqui D; Geller D A; O'Rourke N; Iannitti D; Dagher I; Koffron A J; Thomas M; Gayet B; Han H S; Wakabayashi G; Belli G; Kaneko H; Ker C; Scatton O; Laurent A; Abdalla E K; Chaudhury P; Dutson E; Gamblin C; D'Angelica M; Nagorney D; Testa G; Labow D; Manas D; Poon R T; Nelson H; Martin R; Clary B; Pinson W C; Martinie J; Vauthey J; Goldstein R; Roayaie S; Barlet D; Espat J; Abecassis M; Rees M; Fong Y; McMasters K M; Broelsch C; Busuttil R; Belghiti J; Strasberg S; Chari R S
Position on laparoscopic liver surgery Journal Article
In: Annals of Surgery, vol. 250, no. 5, pp. 825 – 830, 2009, ISSN: 15281140, (Cited by: 1068).
@article{Buell2009825,
title = {Position on laparoscopic liver surgery},
author = {Joseph F. Buell and Daniel Cherqui and David A. Geller and Nicholas O'Rourke and David Iannitti and Ibrahim Dagher and Alan J. Koffron and Mark Thomas and Brice Gayet and Ho Seong Han and Go Wakabayashi and Giulio Belli and Hironori Kaneko and Chen-Guo Ker and Olivier Scatton and Alexis Laurent and Eddie K. Abdalla and Prosanto Chaudhury and Erik Dutson and Clark Gamblin and Michael D'Angelica and David Nagorney and Giuliano Testa and Daniel Labow and Derrik Manas and Ronnie T. Poon and Heidi Nelson and Robert Martin and Bryan Clary and Wright C. Pinson and John Martinie and Jean-Nicolas Vauthey and Robert Goldstein and Sasan Roayaie and David Barlet and Joseph Espat and Michael Abecassis and Myrddin Rees and Yuman Fong and Kelly M. McMasters and Christoph Broelsch and Ron Busuttil and Jacques Belghiti and Steven Strasberg and Ravi S. Chari},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-70449411205&doi=10.1097%2fSLA.0b013e3181b3b2d8&partnerID=40&md5=6cfd227a8ec6241cd41ddcf3d33cd387},
doi = {10.1097/SLA.0b013e3181b3b2d8},
issn = {15281140},
year = {2009},
date = {2009-01-01},
urldate = {2009-01-01},
journal = {Annals of Surgery},
volume = {250},
number = {5},
pages = {825 – 830},
abstract = {Objective: To summarize the current world position on laparoscopic liver surgery. Summary Background Data: Multiple series have reported on the safety and efficacy of laparoscopic liver surgery. Small and medium sized procedures have become commonplace in many centers, while major laparoscopic liver resections have been performed with efficacy and safety equaling open surgery in highly specialized centers. Although the field has begun to expand rapidly, no consensus meeting has been convened to discuss the evolving field of laparoscopic liver surgery. Methods: On November 7 to 8, 2008, 45 experts in hepatobiliary surgery were invited to participate in a consensus conference convened in Louisville, KY, US. In addition, over 300 attendees were present from 5 continents. The conference was divided into sessions, with 2 moderators assigned to each, so as to stimulate discussion and highlight controversies. The format of the meeting varied from formal presentation of experiential data to expert opinion debates. Written and video records of the presentations were produced. Specific areas of discussion included indications for surgery, patient selection, surgical techniques, complications, patient safety, and surgeon training. Results: The consensus conference used the terms pure laparoscopy, handassisted laparoscopy, and the hybrid technique to define laparoscopic liver procedures. Currently acceptable indications for laparoscopic liver resection are patients with solitary lesions, 5 cm or less, located in liver segments 2 to 6. The laparoscopic approach to left lateral sectionectomy should be considered standard practice. Although all types of liver resection can be performed laparoscopically, major liver resections (eg, right or left hepatectomies) should be reserved for experienced surgeons facile with more advanced laparoscopic hepatic resections. Conversion should be performed for difficult resections requiring extended operating times, and for patient safety, and should be considered prudent surgical practice rather than failure. In emergent situations, efforts should be made to control bleeding before converting to a formal open approach. Utilization of a hand assist or hybrid technique may be faster, safer, and more efficacious. Indications for surgery for benign hepatic lesions should not be widened simply because the surgery can be done laparoscopically. Although data presented on colorectal metastases did not reveal an adverse effect of the laparoscopic approach on oncological outcomes in terms of margins or survival, adequacy of margins and ability to detect occult lesions are concerns. The pure laparoscopic technique of left lateral sectionectomy was used for adult to child donation while the hybrid approach has been the only one reported to date in the case of adult to adult right lobe donation. Laparoscopic liver surgery has not been tested by controlled trials for efficacy or safety. A prospective randomized trial appears to be logistically prohibitive; however, an international registry should be initiated to document the role and safety of laparoscopic liver resection. Conclusions: Laparoscopic liver surgery is a safe and effective approach to the management of surgical liver disease in the hands of trained surgeons with experience in hepatobiliary and laparoscopic surgery. National and international societies, as well as governing boards, should become involved in the goal of establishing training standards and credentialing, to ensure consistent standards and clinical outcomes.Copyright © 2009 by Lippincott Williams & Wilkins.},
note = {Cited by: 1068},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
