International expert consensus on precision anatomy for minimally invasive pancreatoduodenectomy: PAM-HBP surgery project.
consensus
minimally invasive surgical procedures
pancreatoduodenectomy
robotic surgery
superior mesenteric artery
Journal
Journal of hepato-biliary-pancreatic sciences
ISSN: 1868-6982
Titre abrégé: J Hepatobiliary Pancreat Sci
Pays: Japan
ID NLM: 101528587
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
revised:
19
10
2021
received:
23
08
2021
accepted:
20
10
2021
pubmed:
17
11
2021
medline:
2
2
2022
entrez:
16
11
2021
Statut:
ppublish
Résumé
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. 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. 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. MIPD experts suggest that surgical trainees perform resection based on precise anatomical landmarks for safe and reliable MIPD.
Sections du résumé
BACKGROUND
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
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
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
CONCLUSIONS
MIPD experts suggest that surgical trainees perform resection based on precise anatomical landmarks for safe and reliable MIPD.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
124-135Informations de copyright
© 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery.
Références
Kendrick ML, Cusati D. Total laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience. Arch Surg. 2010;145:19-23.
Palanivelu C, Jani K, Senthilnathan P, Parthasarathi R, Rajapandian S, Madhankumar MV. Laparoscopic pancreaticoduodenectomy: technique and outcomes. J Am Coll Surg. 2007;205:222-30.
Asbun HJ, Stauffer JA. Laparoscopic vs open pancreaticoduodenectomy: overall outcomes and severity of complications using the Accordion Severity Grading System. J Am Coll Surg. 2012;215:810-9.
Nagakawa Y, Hosokawa Y, Sahara Y, Takishita C, Nakajima T, Hijikata Y, et al. A novel "artery first" approach allowing safe resection in laparoscopic pancreaticoduodenectomy: the uncinate process first approach. Hepatogastroenterology. 2015;62:1037-40.
Boggi U, Signori S, De Lio N, Perrone VG, Vistoli F, Belluomini M, et al. Feasibility of robotic pancreaticoduodenectomy. Br J Surg. 2013;100:917-25.
Boggi U, Palladino S, Massimetti G, Vistoli F, Caniglia F, De Lio N, et al. Laparoscopic robot-assisted versus open total pancreatectomy: a case-matched study. Surg Endosc. 2015;29:1425-32.
Napoli N, Kauffmann EF, Palmeri M, Miccoli M, Costa F, Vistoli F, et al. The learning curve in robotic pancreaticoduodenectomy. Dig Surg. 2016;33:299-307.
van Hilst J, de Rooij T, Abu Hilal M, Asbun HJ, Barkun J, Boggi U, et al. Worldwide survey on opinions and use f minimally invasive pancreatic resection. HBP (Oxford). 2017;19:190-204.
Goh BKP, Low TY, Kam JH, Lee SY, Chan CY. Initial experience with laparoscopic and robotic surgery for the treatment of periampullary tumours: single institution experience with the first 30 consecutive cases. ANZ J Surg. 2019;89:E137-41.
van Oosten AF, Ding D, Habib JR, Irfan A, Schmocker RK, Sereni E, et al. Perioperative outcomes of robotic pancreaticoduodenectomy: a propensity-matched analysis to open and laparoscopic pancreaticoduodenectomy. J Gastrointest Surg. 2021;25:1795-804.
Honda G, Kurata M, Okuda Y, Kobayashi S, Sakamoto K, Takahashi K. Laparoscopic pancreaticoduodenectomy: taking advantage of the unique view from the caudal side. J Am Coll Surg. 2013;217:e45-9.
Kim HS, Kim H, Kwon W, Han Y, Byun Y, Kang JS, et al. Perioperative and oncologic outcome of robot-assisted minimally invasive (hybrid laparoscopic and robotic) pancreatoduodenectomy: based on pancreatic fistula risk score and cancer/staging matched comparison with open pancreatoduodenectomy. Surg Endosc. 2021;35:1675-81.
Han SH, Kang CM, Hwang HK, Yoon DS, Lee WJ. The Yonsei experience of 104 laparoscopic pancreaticoduodenectomies: a propensity score-matched analysis with open pancreaticoduodenectomy. Surgical Endosc. 2020;34:1658-64.
Liu R, Zhang T, Zhao ZM, Tan XL, Zhao GD, Zhang X, et al. The surgical outcomes of robot-assisted laparoscopic pancreaticoduodenectomy versus laparoscopic pancreaticoduodenectomy for periampullary neoplasms: a comparative study of a single center. Surg Endosc. 2017;31:2380-6.
de Mesquita Neto JWB, Macedo FI, Liu Y, Yiengpruksawan A. Fully robotic total pancreatectomy: technical aspects and outcomes. J Robot Surg. 2019;13:77-82.
Wang SE, Shyr BU, Chen SC, Shyr YM. Comparison between robotic and open pancreaticoduodenectomy with modified Blumgart pancreaticojejunostomy: a propensity score-matched study. Surgery. 2018;164:1162-7.
Lai EC, Yang GP, Tang CN. Robot-assisted laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy-a comparative study. Int J Surg. 2012;10:475-9.
Kim S, Yoon YS, Han HS, Cho JY, Choi Y, Lee B. Evaluation of a single surgeon's learning curve of laparoscopic pancreaticoduodenectomy: risk-adjusted cumulative summation analysis. Surg Endosc. 2021;35:2870-8.
Nakamura M, Wakabayashi G, Tsuchida A, Nagakawa Y. Precision anatomy for minimally invasive hepatobiliary pancreatic surgery: PAM-HBP Surgery Project. J Hepatobiliary Pancreat Sci. 2020. https://doi.org/10.1002/jhbp.885
Nagakawa Y, Watanabe Y, Kozono S, Boggi U, Palanivelu C, Liu R, et al. Surgical approaches to the superior mesenteric artery during minimally invasive pancreaticoduodenectomy: a systematic review. J Hepatobiliary Pancreat Sci. 2021. https://doi.org/10.1002/jhbp.905
Nakata K, Higuchi R, Ikenaga N, Sakuma L, Ban D, Nagakawa Y, et al. Precision anatomy for safe approach to pancreatoduodenectomy for both open and minimally invasive procedure: a systematic review. J Hepatobiliary Pancreat Sci. 2021. https://doi.org/10.1002/jhbp.901
SIGN 50: A guideline developer's handbook. Scottish Intercollegiate Guidelines Network (SIGN). Revised version was published in November, 2019. [cited 2021 Nov 22]. Available at: https://www.sign.ac.uk/media/1050/sign50_2019.pdf
Inoue Y, Saiura A, Yoshioka R, Ono Y, Takahashi M, Arita J, et al. Pancreatoduodenectomy with systematic mesopancreas dissection using a supracolic anterior artery-first approach. Ann Surg. 2015;262:1092-101.
Nagakawa Y, Hosokawa Y, Sahara Y, Takishita C, Hijikata Y, Osakabe H, et al. Approaching the superior mesenteric artery from the right side using the proximal-dorsal jejunal vein preisolation method during laparoscopic pancreaticoduodenectomy. Surgical Endosc. 2018;32:4044-51.
Nakamura M, Nakashima H, Tsutsumi K, Matsumoto H, Muta Y, Ueno D, et al. First jejunal vein oriented mesenteric excision for pancreatoduodenectomy. J Gastroenterol. 2013;48:989-95.
Ishikawa Y, Ban D, Matsumura S, Mitsunori Y, Ochiai T, Kudo A, et al. Surgical pitfalls of jejunal vein anatomy in pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci. 2017;24:394-400.
Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg. 1966;112:337-47.
Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg. 1994;220:50-2.
Ohtsuka T, Mori Y, Ishigami K, Fujimoto T, Miyasaka Y, Nakata K, et al. Clinical significance of circumportal pancreas, a rare congenital anomaly, in pancreatectomy. Am J Surg. 2017;214:267-72.
Cai Y, Gao P, Li Y, Wang X, Peng B. Laparoscopic pancreaticoduodenectomy with major venous resection and reconstruction: anterior superior mesenteric artery first approach. Surg Endosc. 2018;32:4209-15.
Morales E, Zimmitti G, Codignola C, Manzoni A, Garatti M, Sega V, et al. Follow "the superior mesenteric artery": laparoscopic approach for total mesopancreas excision during pancreaticoduodenectomy. Surg Endosc. 2019;33:4186-91.
Wang XM, Sun WD, Hu MH, Wang GN, Jiang YQ, Fang XS, et al. Inferoposterior duodenal approach for laparoscopic pancreaticoduodenectomy. World J Gastroenterol. 2016;22:2142-8.
Pittau G, Sanchez-Cabus S, Laurenzi A, Gelli M, Cunha AS. Laparoscopic pancreaticoduodenectomy: right posterior superior mesenteric artery "first" approach. Ann Surg Oncol. 2015;22:S345-8.
Jiang CY, Liang Y, Wang HW, Hu PF, Cai ZW, Wang W. Management of the uncinate process via the artery first approach in laparoscopic pancreatoduodenectomy. J Hepatobiliary Pancreat Sci. 2019;26:410-5.
Palanivelu C, Rajan PS, Rangarajan M, Vaithiswaran V, Senthilnathan P, Parthasarathi R, et al. Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. J Hepatobiliary Pancreat Surg. 2009;16:731-40.
Asbun HJ, Harada E, Stauffer JA. Tips for laparoscopic pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci. 2016;23:E5-9.
Mendoza AS 3rd, Han HS, Yoon YS, Cho JY, Choi Y. Laparoscopy-assisted pancreaticoduodenectomy as minimally invasive surgery for periampullary tumors: a comparison of short-term clinical outcomes of laparoscopy-assisted pancreaticoduodenectomy and open pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci. 2015;22:819-24.
Xiong JJ, Tan CL, Szatmary P, Huang W, Ke NW, Hu WM, et al. Meta-analysis of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy. Br J Surg. 2014;101:1196-208.
Kim H, Kim JR, Han Y, Kwon W, Kim SW, Jang JY. Early experience of laparoscopic and robotic hybrid pancreaticoduodenectomy. Int J Med Robot. 2017;13(3):e1814.
Goh BKP, Low TY, Lee SY, Chan CY, Chung AYF, Ooi L. Initial experience with robotic pancreatic surgery in Singapore: single institution experience with 30 consecutive cases. ANZ J Surg. 2019;89:206-10.
Navarro JG, Kang CM. Pitfalls for laparoscopic pancreaticoduodenectomy: need for a stepwise approach. Ann Gastroenterol Surg. 2019;3:254-68.
Pedziwiatr M, Pisarska M, Malczak P, Major P, Wierdak M, Radkowiak D. Laparoscopic uncinate process first pancreatoduodenectomy-feasibility study of a modified 'artery first' approach to pancreatic head cancer. Langenbecks Arch Surg. 2017;402:917-23.
Zhang Y, Sun DL, Chen XM. The uncinate process first approach in laparoscopic pancreaticoduodenectomy: a single-institution experience. Surg Laparosc Endosc Percutan Tech. 2017;27:e141-4.
Chen XM, Sun DL, Zhang Y. Laparoscopic versus open pancreaticoduodenectomy combined with uncinated process approach: A comparative study evaluating perioperative outcomes (Retrospective cohort study). Int J Surg. 2018;51:170-3.
Cho A, Yamamoto H, Kainuma O. Tips of laparoscopic pancreaticoduodenectomy: superior mesenteric artery first approach (with video). J Hepatobiliary Pancreat Sci. 2014;21:E19-21.
Liao CH, Liu YY, Wang SY, Liu KH, Yeh CN, Yeh TS. The feasibility of laparoscopic pancreaticoduodenectomy-a stepwise procedure and learning curve. Langenbecks Arch Surg. 2017;402:853-61.
Horiguchi A, Ishihara S, Ito M, Asano Y, Yamamoto T, Miyakawa S. Three-dimensional models of arteries constructed using multidetector-row CT images to perform pancreatoduodenectomy safely following dissection of the inferior pancreaticoduodenal artery. J Hepatobiliary Pancreat Sci. 2010;17:523-6.
Nagakawa Y, Yi SQ, Takishita C, Sahara Y, Osakabe H, Kiya Y, et al. Precise anatomical resection based on structures of nerve and fibrous tissue around the superior mesenteric artery for mesopancreas dissection in pancreaticoduodenectomy for pancreatic cancer. J Hepatobiliary Pancreat Sci. 2020;27:342-51.
Japan Pancreas Society, Classification of Pancreatic Carcinoma, 4th English edn. Kanehara Press; 2017.