Kunzler, Filipe
Mayo Clinic
Hepato-Biliary and Pancreas Surgery, Miami Cancer Institute, Miami, Florida, USA.
Citations 2
International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM‐HBP surgery project
Nagakawa, Yuichi , Nakata, Kohei , Nishino, Hitoe , Ohtsuka, Takao , Ban, Daisuke , Asbun, Horacio J. , Boggi, Ugo , He, Jin , Kendrick, Michael L. , Palanivelu, Chinnusamy , Liu, Rong , Wang, Shin‐E , Tang, Chung‐Ngai, Takaori, Kyoichi , Hilal, Mohammad Abu , Jang, Jin‐Young , Kang, Chang Moo , Kooby, David A. , Nakamura, Yoshiharu , Shrikhande, Shailesh V. , Wolfgang, Christopher L. , Yiengpruksawan, Anusak, Watanabe, Yusuke , Kozono, Shingo , Ciria, Rubén , Garbarino, Giovanni Maria , Higuchi, Ryota , Ishikawa, Yoshiya , Maekawa, Aya , Murase, Yoshiki, Kunzler, F. , Wang, Zizheng , Sakuma, Leon, Takishita, Chie, Osakabe, Hiroaki , Endo, Itaru , Tanaka, Masao , Yamaue, Hiroki , Tanabe, Minoru , Wakabayashi, Go , Tsuchida, Akihiko , Goh, Brian K P , Honda, Goro , Jang, Jin-Young , Kang, Chang Moo , Yoon, Yoo-Seok , Ciria, Ruben , Kunzler, Filipe , Endo, Itaru , Nakamura, Masafumi , Nakata, Kohei , Tang, Chung Ngai, Honda, Goro , Berardi, Giammauro , Ikenaga, Naoki , Zimmitti, Giuseppe
Journal of Hepato-Biliary-Pancreatic Sciences | November 16, 2021 | Volume: 29 | Issue: 1 | Pages: 124-135
AbstractBackgroundThe 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.MethodsStudies 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.ResultsThree 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.ConclusionsMIPD experts suggest that surgical trainees perform resection based on precise anatomical landmarks for safe and reliable MIPD.
International Expert Consensus on Precision Anatomy for minimally invasive distal pancreatectomy: PAM‐HBP Surgery Project
Ban, Daisuke , Nishino, Hitoe , Ohtsuka, Takao , Nagakawa, Yuichi , Hilal, Mohammad Abu , Asbun, Horacio J. , Boggi, Ugo , He, Jin , Honda, Goro , Jang, Jin‐Young , Kang, Chang Moo , Kendrick, Michael L. , Kooby, David A. , Liu, Rong , Nakata, Kohei , Palanivelu, Chinnusamy , Shrikhande, Shailesh V. , Takaori, Kyoichi , Tang, Chung‐Ngai, Wang, Shin‐E , Wolfgang, Christopher L. , Yiengpruksawan, Anusak, Ciria, Rubén , Garbarino, Giovanni Maria , Higuchi, Ryota , Ishikawa, Yoshiya , Kozono, Shingo , Maekawa, Aya , Murase, Yoshiki, Watanabe, Yusuke , Kunzler, F. , Wang, Zizheng , Sakuma, Leon, Osakabe, Hiroaki , Takishita, Chie, Endo, Itaru , Tanaka, Masao , Yamaue, Hiroki , Tanabe, Minoru , Wakabayashi, Go , Tsuchida, Akihiko , Honda, Goro , Jang, Jin-Young , Kang, Chang Moo , Liu, Rong , Nakata, Kohei , Yoon, Yoo-Seok , Ciria, Ruben , Kunzler, Filipe , Endo, Itaru , Nakamura, Masafumi , Goh, Brian K P , Nakamura, Yoshiharu , Tang, Chung Ngai, Berardi, Giammauro , Ikenaga, Naoki , Zimmitti, Giuseppe
Journal of Hepato-Biliary-Pancreatic Sciences | October 31, 2021 | Volume: 29 | Issue: 1 | Pages: 161-173
AbstractBackgroundSurgical views with high resolution and magnification have enabled us to recognize the precise anatomical structures that can be used as landmarks during minimally invasive distal pancreatectomy (MIDP). This study aimed to validate the usefulness of anatomy‐based approaches for MIDP before and during the Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (February 24, 2021).MethodsTwenty‐five international MIDP experts developed clinical questions regarding surgical anatomy and approaches for MIDP. Studies identified via a comprehensive literature search were classified using Scottish Intercollegiate Guidelines Network methodology. Online Delphi voting was conducted after experts had drafted the recommendations, with the goal of obtaining >75% consensus. Experts discussed the revised recommendations in front of the validation committee and an international audience of 384 attendees. Finalized recommendations were made after a second round of online Delphi voting.ResultsFour clinical questions were addressed, resulting in 10 recommendations. All recommendations reached at least a 75% consensus among experts.ConclusionsThe expert consensus on precision anatomy for MIDP has been presented as a set of recommendations based on available evidence and expert opinions. These recommendations should guide experts and trainees in performing safe MIDP and foster its appropriate dissemination worldwide.