International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project
Issued Date
2022-01-01
Resource Type
ISSN
18686974
eISSN
18686982
Scopus ID
2-s2.0-85120472637
Pubmed ID
34783176
Journal Title
Journal of Hepato-Biliary-Pancreatic Sciences
Volume
29
Issue
1
Start Page
124
End Page
135
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Hepato-Biliary-Pancreatic Sciences Vol.29 No.1 (2022) , 124-135
Suggested Citation
Nagakawa Y. International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project. Journal of Hepato-Biliary-Pancreatic Sciences Vol.29 No.1 (2022) , 124-135. 135. doi:10.1002/jhbp.1081 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86725
Title
International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project
Author(s)
Author's Affiliation
Ageo Central General Hospital
Siriraj Hospital
National Yang Ming Chiao Tung University
Graduate School of Medical Sciences
Graduate School of Medicine
Graduate School of Medical and Dental Sciences
Graduate School of Medicine
Graduate School of Medicine
Seoul National University Bundang Hospital
Azienda Ospedaliero Universitaria Pisana
GEM Hospital, Coimbatore
Homi Bhabha National Institute
General Hospital of People's Liberation Army
Sapienza Università di Roma
Hospital Universitario Reina Sofia
Kagoshima University
Tokyo Women's Medical University
NYU Grossman School of Medicine
Wakayama Medical University
Nippon Medical School
National Cancer Center Hospital
Singapore General Hospital
Yonsei University College of Medicine
Azienda Ospedaliera San Camillo Forlanini
Kawasaki Medical School
Mayo Clinic
Tokyo Medical University
Emory University School of Medicine
Johns Hopkins School of Medicine
Seoul National University College of Medicine
Pamela Youde Nethersole Eastern Hospital
Fondazione Poliambulanza Istituto Ospedaliero
Shimonoseki City Hospital
Miami Cancer Institute
Siriraj Hospital
National Yang Ming Chiao Tung University
Graduate School of Medical Sciences
Graduate School of Medicine
Graduate School of Medical and Dental Sciences
Graduate School of Medicine
Graduate School of Medicine
Seoul National University Bundang Hospital
Azienda Ospedaliero Universitaria Pisana
GEM Hospital, Coimbatore
Homi Bhabha National Institute
General Hospital of People's Liberation Army
Sapienza Università di Roma
Hospital Universitario Reina Sofia
Kagoshima University
Tokyo Women's Medical University
NYU Grossman School of Medicine
Wakayama Medical University
Nippon Medical School
National Cancer Center Hospital
Singapore General Hospital
Yonsei University College of Medicine
Azienda Ospedaliera San Camillo Forlanini
Kawasaki Medical School
Mayo Clinic
Tokyo Medical University
Emory University School of Medicine
Johns Hopkins School of Medicine
Seoul National University College of Medicine
Pamela Youde Nethersole Eastern Hospital
Fondazione Poliambulanza Istituto Ospedaliero
Shimonoseki City Hospital
Miami Cancer Institute
Other Contributor(s)
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.