The Tokyo 2020 terminology of liver anatomy and resections: Updates of the Brisbane 2000 system
Background The Brisbane 2000 Terminology for Liver Anatomy and Resections, based on Couinaud’s segments, did not address how to identify segmental borders and anatomic territories of less than one segment. Smaller anatomic resections including segmentectomies and subsegmentectomies, have not been we...
Gespeichert in:
| Veröffentlicht in: | Journal of hepato-biliary-pancreatic sciences 2022-01, Vol.29 (1), p.6-15 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 15 |
|---|---|
| container_issue | 1 |
| container_start_page | 6 |
| container_title | Journal of hepato-biliary-pancreatic sciences |
| container_volume | 29 |
| creator | Wakabayashi, Go Cherqui, Daniel Geller, David A. Abu Hilal, Mohammed Berardi, Giammauro Ciria, Ruben Abe, Yuta Aoki, Takeshi Asbun, Horacio J. Chan, Albert C. Y. Chanwat, Rawisak Chen, Kuo‐Hsin Chen, Yajin Cheung, Tan To Fuks, David Gotohda, Naoto Han, Ho‐Seong Hasegawa, Kiyoshi Hatano, Etsuro Honda, Goro Itano, Osamu Iwashita, Yukio Kaneko, Hironori Kato, Yutaro Kim, Ji Hoon Liu, Rong López‐Ben, Santiago Morimoto, Mamoru Monden, Kazuteru Rotellar, Fernando Sakamoto, Yoshihiro Sugioka, Atsushi Yoshiizumi, Tomoharu Akahoshi, Keiichi Alconchel, Felipe Ariizumi, Shunichi Benedetti Cacciaguerra, Andrea Durán, Manuel Garcia Vazquez, Alain Golse, Nicolas Miyasaka, Yoshihiro Mori, Yasuhisa Ogiso, Satoshi Shirata, Chikara Tomassini, Federico Urade, Takeshi Wakabayashi, Taiga Nishino, Hitoe Hibi, Taizo Kokudo, Norihiro Ohtsuka, Masayuki Ban, Daisuke Nagakawa, Yuichi Ohtsuka, Takao Tanabe, Minoru Nakamura, Masafumi Tsuchida, Akihiko Yamamoto, Masakazu |
| description | Background
The Brisbane 2000 Terminology for Liver Anatomy and Resections, based on Couinaud’s segments, did not address how to identify segmental borders and anatomic territories of less than one segment. Smaller anatomic resections including segmentectomies and subsegmentectomies, have not been well defined. The advent of minimally invasive liver resection has enhanced the possibilities of more precise resection due to a magnified view and reduced bleeding, and minimally invasive anatomic liver resection (MIALR) is becoming popular gradually. Therefore, there is a need for updating the Brisbane 2000 system, including anatomic segmentectomy or less. An online "Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (PAM‐HBP Surgery Consensus)" was hosted on February 23, 2021.
Methods
The Steering Committee invited 34 international experts from around the world. The Expert Committee (EC) selected 12 questions and two future research topics in the terminology session. The EC created seven tentative definitions and five recommendations based on the experts’ opinions and the literature review performed by the Research Committee. Two Delphi Rounds finalized those definitions and recommendations.
Results
This paper presents seven definitions and five recommendations regarding anatomic segmentectomy or less. In addition, two future research topics are discussed.
Conclusions
The PAM‐HBP Surgery Consensus has presented the Tokyo 2020 Terminology for Liver Anatomy and Resections. The terminology has added definitions of liver anatomy and resections that were not defined in the Brisbane 2000 system.
Highlight
The Tokyo 2020 terminology has added definitions of liver anatomy and resections that were not defined in the Brisbane 2000 system. It shows how to identify segmental borders and anatomic territories of less than one segment. This figure shows that Sg 5 consists of three cone units. |
| doi_str_mv | 10.1002/jhbp.1091 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2607310038</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2626286010</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5131-8eac7f5c01d350400152f7504ea8dfbc87e9fb19e3fded00f883a0e01317397c3</originalsourceid><addsrcrecordid>eNp1kEFPwjAUxxujEYIc_AKmiRc9IK8rbJ03ISoaEj3Auem2VxluK7abZt_eIsjBxL7D-x9-_eXlT8g5gxsGEAzXq2TjU8yOSJeJUAzCWATHhxyNOqTv3Br844zHHE5Jh49EGPJR3CVysUK6MO-toQEEQGu0ZV6Zwry11Gha5J9oqapUbcrW74xadJjWuancLV1uMlWj24K110xs7hJVoTcBUNe6GsszcqJV4bC_3z2yfLhfTGeD-cvj0_RuPkjHjLOBQJVGepwCy_gYRgBsHOjIJ1Qi00kqIox1wmLkOsMMQAvBFSD4vxGPo5T3yNXOu7Hmo0FXyzJ3KRaFv8c0TgYhRNz3xYVHL_-ga9PYyl_nKT8iBAaeut5RqTXOWdRyY_NS2VYykNvi5bZ4uS3esxd7Y5OUmB3I35o9MNwBX3mB7f8m-TybvP4ovwEMpoqS</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2626286010</pqid></control><display><type>article</type><title>The Tokyo 2020 terminology of liver anatomy and resections: Updates of the Brisbane 2000 system</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Wakabayashi, Go ; Cherqui, Daniel ; Geller, David A. ; Abu Hilal, Mohammed ; Berardi, Giammauro ; Ciria, Ruben ; Abe, Yuta ; Aoki, Takeshi ; Asbun, Horacio J. ; Chan, Albert C. Y. ; Chanwat, Rawisak ; Chen, Kuo‐Hsin ; Chen, Yajin ; Cheung, Tan To ; Fuks, David ; Gotohda, Naoto ; Han, Ho‐Seong ; Hasegawa, Kiyoshi ; Hatano, Etsuro ; Honda, Goro ; Itano, Osamu ; Iwashita, Yukio ; Kaneko, Hironori ; Kato, Yutaro ; Kim, Ji Hoon ; Liu, Rong ; López‐Ben, Santiago ; Morimoto, Mamoru ; Monden, Kazuteru ; Rotellar, Fernando ; Sakamoto, Yoshihiro ; Sugioka, Atsushi ; Yoshiizumi, Tomoharu ; Akahoshi, Keiichi ; Alconchel, Felipe ; Ariizumi, Shunichi ; Benedetti Cacciaguerra, Andrea ; Durán, Manuel ; Garcia Vazquez, Alain ; Golse, Nicolas ; Miyasaka, Yoshihiro ; Mori, Yasuhisa ; Ogiso, Satoshi ; Shirata, Chikara ; Tomassini, Federico ; Urade, Takeshi ; Wakabayashi, Taiga ; Nishino, Hitoe ; Hibi, Taizo ; Kokudo, Norihiro ; Ohtsuka, Masayuki ; Ban, Daisuke ; Nagakawa, Yuichi ; Ohtsuka, Takao ; Tanabe, Minoru ; Nakamura, Masafumi ; Tsuchida, Akihiko ; Yamamoto, Masakazu</creator><creatorcontrib>Wakabayashi, Go ; Cherqui, Daniel ; Geller, David A. ; Abu Hilal, Mohammed ; Berardi, Giammauro ; Ciria, Ruben ; Abe, Yuta ; Aoki, Takeshi ; Asbun, Horacio J. ; Chan, Albert C. Y. ; Chanwat, Rawisak ; Chen, Kuo‐Hsin ; Chen, Yajin ; Cheung, Tan To ; Fuks, David ; Gotohda, Naoto ; Han, Ho‐Seong ; Hasegawa, Kiyoshi ; Hatano, Etsuro ; Honda, Goro ; Itano, Osamu ; Iwashita, Yukio ; Kaneko, Hironori ; Kato, Yutaro ; Kim, Ji Hoon ; Liu, Rong ; López‐Ben, Santiago ; Morimoto, Mamoru ; Monden, Kazuteru ; Rotellar, Fernando ; Sakamoto, Yoshihiro ; Sugioka, Atsushi ; Yoshiizumi, Tomoharu ; Akahoshi, Keiichi ; Alconchel, Felipe ; Ariizumi, Shunichi ; Benedetti Cacciaguerra, Andrea ; Durán, Manuel ; Garcia Vazquez, Alain ; Golse, Nicolas ; Miyasaka, Yoshihiro ; Mori, Yasuhisa ; Ogiso, Satoshi ; Shirata, Chikara ; Tomassini, Federico ; Urade, Takeshi ; Wakabayashi, Taiga ; Nishino, Hitoe ; Hibi, Taizo ; Kokudo, Norihiro ; Ohtsuka, Masayuki ; Ban, Daisuke ; Nagakawa, Yuichi ; Ohtsuka, Takao ; Tanabe, Minoru ; Nakamura, Masafumi ; Tsuchida, Akihiko ; Yamamoto, Masakazu</creatorcontrib><description>Background
The Brisbane 2000 Terminology for Liver Anatomy and Resections, based on Couinaud’s segments, did not address how to identify segmental borders and anatomic territories of less than one segment. Smaller anatomic resections including segmentectomies and subsegmentectomies, have not been well defined. The advent of minimally invasive liver resection has enhanced the possibilities of more precise resection due to a magnified view and reduced bleeding, and minimally invasive anatomic liver resection (MIALR) is becoming popular gradually. Therefore, there is a need for updating the Brisbane 2000 system, including anatomic segmentectomy or less. An online "Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (PAM‐HBP Surgery Consensus)" was hosted on February 23, 2021.
Methods
The Steering Committee invited 34 international experts from around the world. The Expert Committee (EC) selected 12 questions and two future research topics in the terminology session. The EC created seven tentative definitions and five recommendations based on the experts’ opinions and the literature review performed by the Research Committee. Two Delphi Rounds finalized those definitions and recommendations.
Results
This paper presents seven definitions and five recommendations regarding anatomic segmentectomy or less. In addition, two future research topics are discussed.
Conclusions
The PAM‐HBP Surgery Consensus has presented the Tokyo 2020 Terminology for Liver Anatomy and Resections. The terminology has added definitions of liver anatomy and resections that were not defined in the Brisbane 2000 system.
Highlight
The Tokyo 2020 terminology has added definitions of liver anatomy and resections that were not defined in the Brisbane 2000 system. It shows how to identify segmental borders and anatomic territories of less than one segment. This figure shows that Sg 5 consists of three cone units.</description><identifier>ISSN: 1868-6974</identifier><identifier>EISSN: 1868-6982</identifier><identifier>DOI: 10.1002/jhbp.1091</identifier><identifier>PMID: 34866349</identifier><language>eng</language><publisher>Japan: Wiley Subscription Services, Inc</publisher><subject>anatomic liver resection ; cone unit ; Glissonean approach ; Hepatectomy ; Humans ; Liver ; Liver Neoplasms - surgery ; Minimally Invasive Surgical Procedures ; segmentectomy ; subsegmentectomy ; Surgery ; Terminology ; Tokyo</subject><ispartof>Journal of hepato-biliary-pancreatic sciences, 2022-01, Vol.29 (1), p.6-15</ispartof><rights>2021 Japanese Society of Hepato‐Biliary‐Pancreatic Surgery</rights><rights>2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery.</rights><rights>Copyright © 2022 Japanese Society of Hepato‐Biliary‐Pancreatic Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5131-8eac7f5c01d350400152f7504ea8dfbc87e9fb19e3fded00f883a0e01317397c3</citedby><cites>FETCH-LOGICAL-c5131-8eac7f5c01d350400152f7504ea8dfbc87e9fb19e3fded00f883a0e01317397c3</cites><orcidid>0000-0002-7839-2329 ; 0000-0002-6196-8643 ; 0000-0002-2197-9508 ; 0000-0002-5074-0205 ; 0000-0002-6867-228X ; 0000-0003-0868-8519 ; 0000-0002-4468-5844 ; 0000-0001-8734-740X ; 0000-0003-1161-2195 ; 0000-0001-9928-3933 ; 0000-0002-4557-1777 ; 0000-0002-5483-0312 ; 0000-0002-8383-9666 ; 0000-0001-5170-6474 ; 0000-0001-9659-1260 ; 0000-0002-1162-4535 ; 0000-0003-3785-7502 ; 0000-0002-0800-3973</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjhbp.1091$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjhbp.1091$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34866349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wakabayashi, Go</creatorcontrib><creatorcontrib>Cherqui, Daniel</creatorcontrib><creatorcontrib>Geller, David A.</creatorcontrib><creatorcontrib>Abu Hilal, Mohammed</creatorcontrib><creatorcontrib>Berardi, Giammauro</creatorcontrib><creatorcontrib>Ciria, Ruben</creatorcontrib><creatorcontrib>Abe, Yuta</creatorcontrib><creatorcontrib>Aoki, Takeshi</creatorcontrib><creatorcontrib>Asbun, Horacio J.</creatorcontrib><creatorcontrib>Chan, Albert C. Y.</creatorcontrib><creatorcontrib>Chanwat, Rawisak</creatorcontrib><creatorcontrib>Chen, Kuo‐Hsin</creatorcontrib><creatorcontrib>Chen, Yajin</creatorcontrib><creatorcontrib>Cheung, Tan To</creatorcontrib><creatorcontrib>Fuks, David</creatorcontrib><creatorcontrib>Gotohda, Naoto</creatorcontrib><creatorcontrib>Han, Ho‐Seong</creatorcontrib><creatorcontrib>Hasegawa, Kiyoshi</creatorcontrib><creatorcontrib>Hatano, Etsuro</creatorcontrib><creatorcontrib>Honda, Goro</creatorcontrib><creatorcontrib>Itano, Osamu</creatorcontrib><creatorcontrib>Iwashita, Yukio</creatorcontrib><creatorcontrib>Kaneko, Hironori</creatorcontrib><creatorcontrib>Kato, Yutaro</creatorcontrib><creatorcontrib>Kim, Ji Hoon</creatorcontrib><creatorcontrib>Liu, Rong</creatorcontrib><creatorcontrib>López‐Ben, Santiago</creatorcontrib><creatorcontrib>Morimoto, Mamoru</creatorcontrib><creatorcontrib>Monden, Kazuteru</creatorcontrib><creatorcontrib>Rotellar, Fernando</creatorcontrib><creatorcontrib>Sakamoto, Yoshihiro</creatorcontrib><creatorcontrib>Sugioka, Atsushi</creatorcontrib><creatorcontrib>Yoshiizumi, Tomoharu</creatorcontrib><creatorcontrib>Akahoshi, Keiichi</creatorcontrib><creatorcontrib>Alconchel, Felipe</creatorcontrib><creatorcontrib>Ariizumi, Shunichi</creatorcontrib><creatorcontrib>Benedetti Cacciaguerra, Andrea</creatorcontrib><creatorcontrib>Durán, Manuel</creatorcontrib><creatorcontrib>Garcia Vazquez, Alain</creatorcontrib><creatorcontrib>Golse, Nicolas</creatorcontrib><creatorcontrib>Miyasaka, Yoshihiro</creatorcontrib><creatorcontrib>Mori, Yasuhisa</creatorcontrib><creatorcontrib>Ogiso, Satoshi</creatorcontrib><creatorcontrib>Shirata, Chikara</creatorcontrib><creatorcontrib>Tomassini, Federico</creatorcontrib><creatorcontrib>Urade, Takeshi</creatorcontrib><creatorcontrib>Wakabayashi, Taiga</creatorcontrib><creatorcontrib>Nishino, Hitoe</creatorcontrib><creatorcontrib>Hibi, Taizo</creatorcontrib><creatorcontrib>Kokudo, Norihiro</creatorcontrib><creatorcontrib>Ohtsuka, Masayuki</creatorcontrib><creatorcontrib>Ban, Daisuke</creatorcontrib><creatorcontrib>Nagakawa, Yuichi</creatorcontrib><creatorcontrib>Ohtsuka, Takao</creatorcontrib><creatorcontrib>Tanabe, Minoru</creatorcontrib><creatorcontrib>Nakamura, Masafumi</creatorcontrib><creatorcontrib>Tsuchida, Akihiko</creatorcontrib><creatorcontrib>Yamamoto, Masakazu</creatorcontrib><title>The Tokyo 2020 terminology of liver anatomy and resections: Updates of the Brisbane 2000 system</title><title>Journal of hepato-biliary-pancreatic sciences</title><addtitle>J Hepatobiliary Pancreat Sci</addtitle><description>Background
The Brisbane 2000 Terminology for Liver Anatomy and Resections, based on Couinaud’s segments, did not address how to identify segmental borders and anatomic territories of less than one segment. Smaller anatomic resections including segmentectomies and subsegmentectomies, have not been well defined. The advent of minimally invasive liver resection has enhanced the possibilities of more precise resection due to a magnified view and reduced bleeding, and minimally invasive anatomic liver resection (MIALR) is becoming popular gradually. Therefore, there is a need for updating the Brisbane 2000 system, including anatomic segmentectomy or less. An online "Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (PAM‐HBP Surgery Consensus)" was hosted on February 23, 2021.
Methods
The Steering Committee invited 34 international experts from around the world. The Expert Committee (EC) selected 12 questions and two future research topics in the terminology session. The EC created seven tentative definitions and five recommendations based on the experts’ opinions and the literature review performed by the Research Committee. Two Delphi Rounds finalized those definitions and recommendations.
Results
This paper presents seven definitions and five recommendations regarding anatomic segmentectomy or less. In addition, two future research topics are discussed.
Conclusions
The PAM‐HBP Surgery Consensus has presented the Tokyo 2020 Terminology for Liver Anatomy and Resections. The terminology has added definitions of liver anatomy and resections that were not defined in the Brisbane 2000 system.
Highlight
The Tokyo 2020 terminology has added definitions of liver anatomy and resections that were not defined in the Brisbane 2000 system. It shows how to identify segmental borders and anatomic territories of less than one segment. This figure shows that Sg 5 consists of three cone units.</description><subject>anatomic liver resection</subject><subject>cone unit</subject><subject>Glissonean approach</subject><subject>Hepatectomy</subject><subject>Humans</subject><subject>Liver</subject><subject>Liver Neoplasms - surgery</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>segmentectomy</subject><subject>subsegmentectomy</subject><subject>Surgery</subject><subject>Terminology</subject><subject>Tokyo</subject><issn>1868-6974</issn><issn>1868-6982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEFPwjAUxxujEYIc_AKmiRc9IK8rbJ03ISoaEj3Auem2VxluK7abZt_eIsjBxL7D-x9-_eXlT8g5gxsGEAzXq2TjU8yOSJeJUAzCWATHhxyNOqTv3Br844zHHE5Jh49EGPJR3CVysUK6MO-toQEEQGu0ZV6Zwry11Gha5J9oqapUbcrW74xadJjWuancLV1uMlWj24K110xs7hJVoTcBUNe6GsszcqJV4bC_3z2yfLhfTGeD-cvj0_RuPkjHjLOBQJVGepwCy_gYRgBsHOjIJ1Qi00kqIox1wmLkOsMMQAvBFSD4vxGPo5T3yNXOu7Hmo0FXyzJ3KRaFv8c0TgYhRNz3xYVHL_-ga9PYyl_nKT8iBAaeut5RqTXOWdRyY_NS2VYykNvi5bZ4uS3esxd7Y5OUmB3I35o9MNwBX3mB7f8m-TybvP4ovwEMpoqS</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Wakabayashi, Go</creator><creator>Cherqui, Daniel</creator><creator>Geller, David A.</creator><creator>Abu Hilal, Mohammed</creator><creator>Berardi, Giammauro</creator><creator>Ciria, Ruben</creator><creator>Abe, Yuta</creator><creator>Aoki, Takeshi</creator><creator>Asbun, Horacio J.</creator><creator>Chan, Albert C. Y.</creator><creator>Chanwat, Rawisak</creator><creator>Chen, Kuo‐Hsin</creator><creator>Chen, Yajin</creator><creator>Cheung, Tan To</creator><creator>Fuks, David</creator><creator>Gotohda, Naoto</creator><creator>Han, Ho‐Seong</creator><creator>Hasegawa, Kiyoshi</creator><creator>Hatano, Etsuro</creator><creator>Honda, Goro</creator><creator>Itano, Osamu</creator><creator>Iwashita, Yukio</creator><creator>Kaneko, Hironori</creator><creator>Kato, Yutaro</creator><creator>Kim, Ji Hoon</creator><creator>Liu, Rong</creator><creator>López‐Ben, Santiago</creator><creator>Morimoto, Mamoru</creator><creator>Monden, Kazuteru</creator><creator>Rotellar, Fernando</creator><creator>Sakamoto, Yoshihiro</creator><creator>Sugioka, Atsushi</creator><creator>Yoshiizumi, Tomoharu</creator><creator>Akahoshi, Keiichi</creator><creator>Alconchel, Felipe</creator><creator>Ariizumi, Shunichi</creator><creator>Benedetti Cacciaguerra, Andrea</creator><creator>Durán, Manuel</creator><creator>Garcia Vazquez, Alain</creator><creator>Golse, Nicolas</creator><creator>Miyasaka, Yoshihiro</creator><creator>Mori, Yasuhisa</creator><creator>Ogiso, Satoshi</creator><creator>Shirata, Chikara</creator><creator>Tomassini, Federico</creator><creator>Urade, Takeshi</creator><creator>Wakabayashi, Taiga</creator><creator>Nishino, Hitoe</creator><creator>Hibi, Taizo</creator><creator>Kokudo, Norihiro</creator><creator>Ohtsuka, Masayuki</creator><creator>Ban, Daisuke</creator><creator>Nagakawa, Yuichi</creator><creator>Ohtsuka, Takao</creator><creator>Tanabe, Minoru</creator><creator>Nakamura, Masafumi</creator><creator>Tsuchida, Akihiko</creator><creator>Yamamoto, Masakazu</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7839-2329</orcidid><orcidid>https://orcid.org/0000-0002-6196-8643</orcidid><orcidid>https://orcid.org/0000-0002-2197-9508</orcidid><orcidid>https://orcid.org/0000-0002-5074-0205</orcidid><orcidid>https://orcid.org/0000-0002-6867-228X</orcidid><orcidid>https://orcid.org/0000-0003-0868-8519</orcidid><orcidid>https://orcid.org/0000-0002-4468-5844</orcidid><orcidid>https://orcid.org/0000-0001-8734-740X</orcidid><orcidid>https://orcid.org/0000-0003-1161-2195</orcidid><orcidid>https://orcid.org/0000-0001-9928-3933</orcidid><orcidid>https://orcid.org/0000-0002-4557-1777</orcidid><orcidid>https://orcid.org/0000-0002-5483-0312</orcidid><orcidid>https://orcid.org/0000-0002-8383-9666</orcidid><orcidid>https://orcid.org/0000-0001-5170-6474</orcidid><orcidid>https://orcid.org/0000-0001-9659-1260</orcidid><orcidid>https://orcid.org/0000-0002-1162-4535</orcidid><orcidid>https://orcid.org/0000-0003-3785-7502</orcidid><orcidid>https://orcid.org/0000-0002-0800-3973</orcidid></search><sort><creationdate>202201</creationdate><title>The Tokyo 2020 terminology of liver anatomy and resections: Updates of the Brisbane 2000 system</title><author>Wakabayashi, Go ; Cherqui, Daniel ; Geller, David A. ; Abu Hilal, Mohammed ; Berardi, Giammauro ; Ciria, Ruben ; Abe, Yuta ; Aoki, Takeshi ; Asbun, Horacio J. ; Chan, Albert C. Y. ; Chanwat, Rawisak ; Chen, Kuo‐Hsin ; Chen, Yajin ; Cheung, Tan To ; Fuks, David ; Gotohda, Naoto ; Han, Ho‐Seong ; Hasegawa, Kiyoshi ; Hatano, Etsuro ; Honda, Goro ; Itano, Osamu ; Iwashita, Yukio ; Kaneko, Hironori ; Kato, Yutaro ; Kim, Ji Hoon ; Liu, Rong ; López‐Ben, Santiago ; Morimoto, Mamoru ; Monden, Kazuteru ; Rotellar, Fernando ; Sakamoto, Yoshihiro ; Sugioka, Atsushi ; Yoshiizumi, Tomoharu ; Akahoshi, Keiichi ; Alconchel, Felipe ; Ariizumi, Shunichi ; Benedetti Cacciaguerra, Andrea ; Durán, Manuel ; Garcia Vazquez, Alain ; Golse, Nicolas ; Miyasaka, Yoshihiro ; Mori, Yasuhisa ; Ogiso, Satoshi ; Shirata, Chikara ; Tomassini, Federico ; Urade, Takeshi ; Wakabayashi, Taiga ; Nishino, Hitoe ; Hibi, Taizo ; Kokudo, Norihiro ; Ohtsuka, Masayuki ; Ban, Daisuke ; Nagakawa, Yuichi ; Ohtsuka, Takao ; Tanabe, Minoru ; Nakamura, Masafumi ; Tsuchida, Akihiko ; Yamamoto, Masakazu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5131-8eac7f5c01d350400152f7504ea8dfbc87e9fb19e3fded00f883a0e01317397c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>anatomic liver resection</topic><topic>cone unit</topic><topic>Glissonean approach</topic><topic>Hepatectomy</topic><topic>Humans</topic><topic>Liver</topic><topic>Liver Neoplasms - surgery</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>segmentectomy</topic><topic>subsegmentectomy</topic><topic>Surgery</topic><topic>Terminology</topic><topic>Tokyo</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wakabayashi, Go</creatorcontrib><creatorcontrib>Cherqui, Daniel</creatorcontrib><creatorcontrib>Geller, David A.</creatorcontrib><creatorcontrib>Abu Hilal, Mohammed</creatorcontrib><creatorcontrib>Berardi, Giammauro</creatorcontrib><creatorcontrib>Ciria, Ruben</creatorcontrib><creatorcontrib>Abe, Yuta</creatorcontrib><creatorcontrib>Aoki, Takeshi</creatorcontrib><creatorcontrib>Asbun, Horacio J.</creatorcontrib><creatorcontrib>Chan, Albert C. Y.</creatorcontrib><creatorcontrib>Chanwat, Rawisak</creatorcontrib><creatorcontrib>Chen, Kuo‐Hsin</creatorcontrib><creatorcontrib>Chen, Yajin</creatorcontrib><creatorcontrib>Cheung, Tan To</creatorcontrib><creatorcontrib>Fuks, David</creatorcontrib><creatorcontrib>Gotohda, Naoto</creatorcontrib><creatorcontrib>Han, Ho‐Seong</creatorcontrib><creatorcontrib>Hasegawa, Kiyoshi</creatorcontrib><creatorcontrib>Hatano, Etsuro</creatorcontrib><creatorcontrib>Honda, Goro</creatorcontrib><creatorcontrib>Itano, Osamu</creatorcontrib><creatorcontrib>Iwashita, Yukio</creatorcontrib><creatorcontrib>Kaneko, Hironori</creatorcontrib><creatorcontrib>Kato, Yutaro</creatorcontrib><creatorcontrib>Kim, Ji Hoon</creatorcontrib><creatorcontrib>Liu, Rong</creatorcontrib><creatorcontrib>López‐Ben, Santiago</creatorcontrib><creatorcontrib>Morimoto, Mamoru</creatorcontrib><creatorcontrib>Monden, Kazuteru</creatorcontrib><creatorcontrib>Rotellar, Fernando</creatorcontrib><creatorcontrib>Sakamoto, Yoshihiro</creatorcontrib><creatorcontrib>Sugioka, Atsushi</creatorcontrib><creatorcontrib>Yoshiizumi, Tomoharu</creatorcontrib><creatorcontrib>Akahoshi, Keiichi</creatorcontrib><creatorcontrib>Alconchel, Felipe</creatorcontrib><creatorcontrib>Ariizumi, Shunichi</creatorcontrib><creatorcontrib>Benedetti Cacciaguerra, Andrea</creatorcontrib><creatorcontrib>Durán, Manuel</creatorcontrib><creatorcontrib>Garcia Vazquez, Alain</creatorcontrib><creatorcontrib>Golse, Nicolas</creatorcontrib><creatorcontrib>Miyasaka, Yoshihiro</creatorcontrib><creatorcontrib>Mori, Yasuhisa</creatorcontrib><creatorcontrib>Ogiso, Satoshi</creatorcontrib><creatorcontrib>Shirata, Chikara</creatorcontrib><creatorcontrib>Tomassini, Federico</creatorcontrib><creatorcontrib>Urade, Takeshi</creatorcontrib><creatorcontrib>Wakabayashi, Taiga</creatorcontrib><creatorcontrib>Nishino, Hitoe</creatorcontrib><creatorcontrib>Hibi, Taizo</creatorcontrib><creatorcontrib>Kokudo, Norihiro</creatorcontrib><creatorcontrib>Ohtsuka, Masayuki</creatorcontrib><creatorcontrib>Ban, Daisuke</creatorcontrib><creatorcontrib>Nagakawa, Yuichi</creatorcontrib><creatorcontrib>Ohtsuka, Takao</creatorcontrib><creatorcontrib>Tanabe, Minoru</creatorcontrib><creatorcontrib>Nakamura, Masafumi</creatorcontrib><creatorcontrib>Tsuchida, Akihiko</creatorcontrib><creatorcontrib>Yamamoto, Masakazu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hepato-biliary-pancreatic sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wakabayashi, Go</au><au>Cherqui, Daniel</au><au>Geller, David A.</au><au>Abu Hilal, Mohammed</au><au>Berardi, Giammauro</au><au>Ciria, Ruben</au><au>Abe, Yuta</au><au>Aoki, Takeshi</au><au>Asbun, Horacio J.</au><au>Chan, Albert C. Y.</au><au>Chanwat, Rawisak</au><au>Chen, Kuo‐Hsin</au><au>Chen, Yajin</au><au>Cheung, Tan To</au><au>Fuks, David</au><au>Gotohda, Naoto</au><au>Han, Ho‐Seong</au><au>Hasegawa, Kiyoshi</au><au>Hatano, Etsuro</au><au>Honda, Goro</au><au>Itano, Osamu</au><au>Iwashita, Yukio</au><au>Kaneko, Hironori</au><au>Kato, Yutaro</au><au>Kim, Ji Hoon</au><au>Liu, Rong</au><au>López‐Ben, Santiago</au><au>Morimoto, Mamoru</au><au>Monden, Kazuteru</au><au>Rotellar, Fernando</au><au>Sakamoto, Yoshihiro</au><au>Sugioka, Atsushi</au><au>Yoshiizumi, Tomoharu</au><au>Akahoshi, Keiichi</au><au>Alconchel, Felipe</au><au>Ariizumi, Shunichi</au><au>Benedetti Cacciaguerra, Andrea</au><au>Durán, Manuel</au><au>Garcia Vazquez, Alain</au><au>Golse, Nicolas</au><au>Miyasaka, Yoshihiro</au><au>Mori, Yasuhisa</au><au>Ogiso, Satoshi</au><au>Shirata, Chikara</au><au>Tomassini, Federico</au><au>Urade, Takeshi</au><au>Wakabayashi, Taiga</au><au>Nishino, Hitoe</au><au>Hibi, Taizo</au><au>Kokudo, Norihiro</au><au>Ohtsuka, Masayuki</au><au>Ban, Daisuke</au><au>Nagakawa, Yuichi</au><au>Ohtsuka, Takao</au><au>Tanabe, Minoru</au><au>Nakamura, Masafumi</au><au>Tsuchida, Akihiko</au><au>Yamamoto, Masakazu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Tokyo 2020 terminology of liver anatomy and resections: Updates of the Brisbane 2000 system</atitle><jtitle>Journal of hepato-biliary-pancreatic sciences</jtitle><addtitle>J Hepatobiliary Pancreat Sci</addtitle><date>2022-01</date><risdate>2022</risdate><volume>29</volume><issue>1</issue><spage>6</spage><epage>15</epage><pages>6-15</pages><issn>1868-6974</issn><eissn>1868-6982</eissn><abstract>Background
The Brisbane 2000 Terminology for Liver Anatomy and Resections, based on Couinaud’s segments, did not address how to identify segmental borders and anatomic territories of less than one segment. Smaller anatomic resections including segmentectomies and subsegmentectomies, have not been well defined. The advent of minimally invasive liver resection has enhanced the possibilities of more precise resection due to a magnified view and reduced bleeding, and minimally invasive anatomic liver resection (MIALR) is becoming popular gradually. Therefore, there is a need for updating the Brisbane 2000 system, including anatomic segmentectomy or less. An online "Expert Consensus Meeting: Precision Anatomy for Minimally Invasive HBP Surgery (PAM‐HBP Surgery Consensus)" was hosted on February 23, 2021.
Methods
The Steering Committee invited 34 international experts from around the world. The Expert Committee (EC) selected 12 questions and two future research topics in the terminology session. The EC created seven tentative definitions and five recommendations based on the experts’ opinions and the literature review performed by the Research Committee. Two Delphi Rounds finalized those definitions and recommendations.
Results
This paper presents seven definitions and five recommendations regarding anatomic segmentectomy or less. In addition, two future research topics are discussed.
Conclusions
The PAM‐HBP Surgery Consensus has presented the Tokyo 2020 Terminology for Liver Anatomy and Resections. The terminology has added definitions of liver anatomy and resections that were not defined in the Brisbane 2000 system.
Highlight
The Tokyo 2020 terminology has added definitions of liver anatomy and resections that were not defined in the Brisbane 2000 system. It shows how to identify segmental borders and anatomic territories of less than one segment. This figure shows that Sg 5 consists of three cone units.</abstract><cop>Japan</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34866349</pmid><doi>10.1002/jhbp.1091</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-7839-2329</orcidid><orcidid>https://orcid.org/0000-0002-6196-8643</orcidid><orcidid>https://orcid.org/0000-0002-2197-9508</orcidid><orcidid>https://orcid.org/0000-0002-5074-0205</orcidid><orcidid>https://orcid.org/0000-0002-6867-228X</orcidid><orcidid>https://orcid.org/0000-0003-0868-8519</orcidid><orcidid>https://orcid.org/0000-0002-4468-5844</orcidid><orcidid>https://orcid.org/0000-0001-8734-740X</orcidid><orcidid>https://orcid.org/0000-0003-1161-2195</orcidid><orcidid>https://orcid.org/0000-0001-9928-3933</orcidid><orcidid>https://orcid.org/0000-0002-4557-1777</orcidid><orcidid>https://orcid.org/0000-0002-5483-0312</orcidid><orcidid>https://orcid.org/0000-0002-8383-9666</orcidid><orcidid>https://orcid.org/0000-0001-5170-6474</orcidid><orcidid>https://orcid.org/0000-0001-9659-1260</orcidid><orcidid>https://orcid.org/0000-0002-1162-4535</orcidid><orcidid>https://orcid.org/0000-0003-3785-7502</orcidid><orcidid>https://orcid.org/0000-0002-0800-3973</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1868-6974 |
| ispartof | Journal of hepato-biliary-pancreatic sciences, 2022-01, Vol.29 (1), p.6-15 |
| issn | 1868-6974 1868-6982 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2607310038 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | anatomic liver resection cone unit Glissonean approach Hepatectomy Humans Liver Liver Neoplasms - surgery Minimally Invasive Surgical Procedures segmentectomy subsegmentectomy Surgery Terminology Tokyo |
| title | The Tokyo 2020 terminology of liver anatomy and resections: Updates of the Brisbane 2000 system |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T21%3A04%3A07IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Tokyo%202020%20terminology%20of%20liver%20anatomy%20and%20resections:%20Updates%20of%20the%20Brisbane%202000%20system&rft.jtitle=Journal%20of%20hepato-biliary-pancreatic%20sciences&rft.au=Wakabayashi,%20Go&rft.date=2022-01&rft.volume=29&rft.issue=1&rft.spage=6&rft.epage=15&rft.pages=6-15&rft.issn=1868-6974&rft.eissn=1868-6982&rft_id=info:doi/10.1002/jhbp.1091&rft_dat=%3Cproquest_cross%3E2626286010%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2626286010&rft_id=info:pmid/34866349&rfr_iscdi=true |