The 32nd Meeting of Japanese Society of Hepato-Biliary-Pancreatic Surgery

Special Session [SS-3]

What’s this meeting about?MembersExpert Consensus
Clinical QuestionsProgramWe Need Your Vote!
Expert Consensus Meeting
Precision Anatomy for Minimally Invasive HBP Surgery
(PAM-HBP Surgery)
Venue : Room 1 (Eminence Hall), 5F, Keio Plaza Hotel Tokyo, Tokyo
Endorsed by International Hepato-Pancreato-Biliary Association IHPBA

What’s this meeting about?

Minimally invasive hepato-biliary-pancreatic (:MI-HBP) has made huge progress of surgical view with high resolution and magnification of laparoscopic/robotic video scope. It has enabled us to recognize the important anatomical structures more precisely, and to use them as landmarks in HBP surgery.

We would like to validate the impact of this precision anatomy on surgical safety of MI-HBP surgery, however evidence for this field is still lacking.

Thus, it is important to organize the expert consensus meeting to collect the opinions from a wide range of laparoscopic and robotic international MI-HBP experts.
We will discuss and develop the recommendations on the useful approaches and anatomical landmarks for the safe MI-HBP surgery.

Faculty Members

Principal Investigators:Masafumi Nakamura, Go Wakabayashi
32JSHBPS Congress Chairman:Akihiko Tsuchida
Head of the Secretariat:Yuichi Nagakawa
Steering Committee:Minoru Tanabe, Takao Ohtsuka, Yuichi Nagakawa, Daisuke Ban

Liver Expert Panel
International:Domestic:
Moh'd Abu HilalGo Wakabayashi
Horacio AsbunAtsushi Sugioka
Santiago López BenMinoru Tanabe
Giammauro BerardiHironori Kaneko
Albert ChanKiyoshi Hasegawa
Rawisak ChanwatEtsuro Hatano
Kuo-Hsin Chen Yoshihiro Sakamoto
Yajin ChenYutaro Kato
Daniel CherquiOsamu Itano
Tan To CheungGoro Honda
Ruben CiriaTakeshi Aoki
David FuksYuta Abe
David GellerNaoto Gotohda
Ho-Seong HanTomoharu Yoshizumi
Ji Hoon KimYukio Iwashita
Fernando RotellarMamoru Morimoto
Kazuteru Monden
Pancreas Expert Panel
International:Domestic:
Horacio AsbunMasafumi Nakamura
Ugo Boggi Yoshiharu Nakamura
Palanivelu ChinnusamyYuichi Nagakawa
Brian K.P. GohTakao Ohtsuka
Jin HeKyoichi Takaori
Moh’d Abu HilalGoro Honda
Chang Moo KangDaisuke Ban
Michael L. KendrickKohei Nakata
David Kooby
Jin-Young Jang
Rong Liu
Shailesh V. Shrikhande
Chung-Ngai Tang
Shin-E Wang
Christopher L. Wolfgang
Yoo-Seok Yoon
Anusak Yiengpruksawan

Expert Consensus

Experts formulate the recommendations of each clinical question(;CQ) about the approaches and anatomical landmarks for MI-HBP surgery based on research evidence and expert opinions. Experts vote, revise, and achieve an agreement on all the recommendations in advance of the meeting (Delphi method).

In this expert consensus meeting, experts will discuss on each CQ with audience, and audience vote and express agreement/disagreement on each recommendation after the presentations from experts.

Clinical Questions

Liver

SessionClinical Questions
Session 1:
Hepatic Inflow
CQ1-1: Is Glissonean approach preferable for minimally invasive anatomic liver resection (MIALR)?
CQ1-2: What are the important anatomical structures and techniques to safely perform the Glissonean approach during MIALR?
Session 2:
Hepatic Outflow
CQ2-1: What are the important anatomical structures and techniques to safely expose the root of the main hepatic veins during MIALR?
CQ2-2: Is the hepatic vein guided approach preferable for MIALR?
CQ2-3: What are the preferable techniques to safely perform the hepatic vein guided approach during MIALR?
Session 3:
Segment/Section
CQ3-1: What defines intersegmental/sectional planes and what helps to determine them during MIALR?
CQ3-2: What are the useful techniques to decide liver transection line during MI-non anatomic liver resection (MINALR)?
Terminology: What is 'Anatomical resection?'

Pancreas

SessionClinical Questions
Session 1:
Minimally Invasive PD
(Anatomy)
CQ1-1: What are arterial and venous patterns to be aware of to safely perform minimally invasive pancreaticoduodenectomy?
Session 2:
Minimally Invasive PD
(Approach)
CQ1-2: What is a useful approach to safely perform minimally invasive pancreaticoduodenectomy?
CQ1-3: What are the important landmarks to be identified when first approaching the superior mesenteric artery to safely perform minimally invasive pancreaticoduodenectomy?
Session 3:
Minimally Invasive DP
(Anatomy)
CQ2-1: What are arterial and venous patterns to be aware of to safely perform minimally invasive distal pancreatectomy?
CQ2-2: What blood vessels should be preserved to avoid postoperative complications in spleen preserving distal pancreatectomy and Warshaw’s procedure?
Session 4:
Minimally Invasive DP
(Approach)
CQ2-3: What is a useful approach to safely perform minimally invasive distal pancreatectomy?
CQ2-4: What are the important anatomical structures to be identified when dissecting the posterior side of the pancreas in minimally invasive distal pancreatectomy?

Program (Under Construction)


We Need Your Vote! (Under Construction)