Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jan;29(1):82-98.
doi: 10.1002/jhbp.899. Epub 2021 Feb 3.

Landmarks to identify segmental borders of the liver: A review prepared for PAM-HBP expert consensus meeting 2021

Taiga Wakabayashi  1 , Andrea Benedetti Cacciaguerra  2 , Ruben Ciria  3 , Shunichi Ariizumi  4 , Manuel Durán  3 , Nicolas Golse  5 , Satoshi Ogiso  6 , Yuta Abe  1 , Takeshi Aoki  7 , Etsuro Hatano  8 , Osamu Itano  9 , Yoshihiro Sakamoto  10 , Tomoharu Yoshizumi  11 , Masakazu Yamamoto  4 , Go Wakabayashi  12 ; Study Group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
Collaborators, Affiliations

Landmarks to identify segmental borders of the liver: A review prepared for PAM-HBP expert consensus meeting 2021

Taiga Wakabayashi et al. J Hepatobiliary Pancreat Sci. 2022 Jan.

Abstract

Background: In preparation for the upcoming consensus meeting in Tokyo in 2021, this systematic review aimed to analyze the current available evidence regarding surgical anatomy of the liver, focusing on useful landmarks, strategies and technical tools to perform precise anatomic liver resection (ALR).

Methods: A systematic review was conducted on MEDLINE/PubMed for English articles and on Ichushi database for Japanese articles until September 2020. The quality assessment of the articles was performed in accordance with the Scottish Intercollegiate Guidelines Network (SIGN).

Results: A total of 3169 manuscripts were obtained, 1993 in English and 1176 in Japanese literature. Subsequently, 63 English and 20 Japanese articles were selected and reviewed. The quality assessment of comparative series and case series was revealed to be usually low; only six articles were qualified as high quality. Forty-two articles focused on analyzing intersegmental/sectional planes and their relationship with specific hepatic landmark veins. In 12 articles, the authors aimed to investigate liver surface anatomic structures, while 36 articles aimed to study technological tools and contrast agents for surgical segmentation during ALR. Although Couinaud's classification has remained the cornerstone in daily diagnostic/surgical practices, it does not always portray the realistic liver segmentation and there has been no standardization on which a single strategy should be followed to perform precise ALR.

Conclusions: A global consensus should be pursued in order to establish clear guidelines and proper recommendations to perform ALR in the era of minimally invasive surgery.

Keywords: anatomic resection; liver anatomy; sectionectomy; segmentectomy.

PubMed Disclaimer

References

REFERENCES

    1. Rex H. Beitrage zur morphologie der saugerleber. Morph Jahrb. 1888;14:517-616.
    1. Cantlie J. On a new arrangement of the right and left lobes of the liver. J Anat Physiol. 1898;32:4-10.
    1. Healey JE Jr, Schroy PC. Anatomy of the biliary ducts within the human liver; analysis of the prevailing pattern of branchings and the major variations of the biliary ducts. AMA Arch Surg. 1953;66:599-616.
    1. Couinaud C. Le foie: études anatomiques et chirurgicales. Masson. 1957 (French).
    1. Keen WW IV. Report of a case of resection of the liver for the removal of a neoplasm, with a table of seventy-six cases of resection of the liver for hepatic tumors. Ann Surg. 1899;30:267-83.

Publication types

LinkOut - more resources