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The history of liver surgery: Achievements over the past 50 years

We reviewed the progress made in the field of liver surgery over the past 50 years. The widespread use and improved outcomes of the hepatectomy were, primarily, due to pioneer surgeons who were responsible for technological advances and rapid improvements in the safety of the procedure in the last c...

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Autores principales: Kokudo, Norihiro, Takemura, Nobuyuki, Ito, Kyoji, Mihara, Fuminori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105847/
https://www.ncbi.nlm.nih.gov/pubmed/32258975
http://dx.doi.org/10.1002/ags3.12322
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author Kokudo, Norihiro
Takemura, Nobuyuki
Ito, Kyoji
Mihara, Fuminori
author_facet Kokudo, Norihiro
Takemura, Nobuyuki
Ito, Kyoji
Mihara, Fuminori
author_sort Kokudo, Norihiro
collection PubMed
description We reviewed the progress made in the field of liver surgery over the past 50 years. The widespread use and improved outcomes of the hepatectomy were, primarily, due to pioneer surgeons who were responsible for technological advances and rapid improvements in the safety of the procedure in the last century. These advances included the hepatic functional evaluation used to determine the safety limit of liver resections, the introduction of intraoperative ultrasonography, and the development of innovative techniques such as portal vein embolization to increase the remnant liver volume. Cadaveric liver transplantation has been attempted since 1963. However, the clinical outcomes only began improving and becoming acceptable in the 1970s‐1980s due to refinements in technology and the development of new immunosuppressants. Partial liver transplantation from living donors, which was first attempted in 1988, required further technological innovation and sophisticated perioperative management plans. Moreover, these developments allowed for further overall improvements to take place in the field of liver surgery. Since the turn of the century, advances in computation and imaging technology have made it possible for safer and more elaborate surgeries to be performed. In Japan, preoperative 3‐dimensional simulation technology has been covered by health insurance since 2012 and is now widely used. An urgent need for real‐time navigation tools will develop in the future. Indocyanine green (ICG) fluorescence imaging was first used in 2007 and has led to the creation of a new surgical concept known as fluorescence navigation surgery. Laparoscopic surgery and robotic surgery have solved the issue of large incisions, which used to be a major drawback of open liver surgery; however, further improvements are required in order to achieve the level of safety and accuracy observed during open liver resection when performing all minimally invasive procedures. In the near future, liver surgery will become more precise and less invasive due to substantial progress including the development of navigation surgery, cancer imaging, and minimally invasive surgery. This overview of the history of liver surgery over the past 50 years may provide useful insights for further innovation in the next 50 years.
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spelling pubmed-71058472020-04-01 The history of liver surgery: Achievements over the past 50 years Kokudo, Norihiro Takemura, Nobuyuki Ito, Kyoji Mihara, Fuminori Ann Gastroenterol Surg Review Articles We reviewed the progress made in the field of liver surgery over the past 50 years. The widespread use and improved outcomes of the hepatectomy were, primarily, due to pioneer surgeons who were responsible for technological advances and rapid improvements in the safety of the procedure in the last century. These advances included the hepatic functional evaluation used to determine the safety limit of liver resections, the introduction of intraoperative ultrasonography, and the development of innovative techniques such as portal vein embolization to increase the remnant liver volume. Cadaveric liver transplantation has been attempted since 1963. However, the clinical outcomes only began improving and becoming acceptable in the 1970s‐1980s due to refinements in technology and the development of new immunosuppressants. Partial liver transplantation from living donors, which was first attempted in 1988, required further technological innovation and sophisticated perioperative management plans. Moreover, these developments allowed for further overall improvements to take place in the field of liver surgery. Since the turn of the century, advances in computation and imaging technology have made it possible for safer and more elaborate surgeries to be performed. In Japan, preoperative 3‐dimensional simulation technology has been covered by health insurance since 2012 and is now widely used. An urgent need for real‐time navigation tools will develop in the future. Indocyanine green (ICG) fluorescence imaging was first used in 2007 and has led to the creation of a new surgical concept known as fluorescence navigation surgery. Laparoscopic surgery and robotic surgery have solved the issue of large incisions, which used to be a major drawback of open liver surgery; however, further improvements are required in order to achieve the level of safety and accuracy observed during open liver resection when performing all minimally invasive procedures. In the near future, liver surgery will become more precise and less invasive due to substantial progress including the development of navigation surgery, cancer imaging, and minimally invasive surgery. This overview of the history of liver surgery over the past 50 years may provide useful insights for further innovation in the next 50 years. John Wiley and Sons Inc. 2020-02-26 /pmc/articles/PMC7105847/ /pubmed/32258975 http://dx.doi.org/10.1002/ags3.12322 Text en © 2020 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterology This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Articles
Kokudo, Norihiro
Takemura, Nobuyuki
Ito, Kyoji
Mihara, Fuminori
The history of liver surgery: Achievements over the past 50 years
title The history of liver surgery: Achievements over the past 50 years
title_full The history of liver surgery: Achievements over the past 50 years
title_fullStr The history of liver surgery: Achievements over the past 50 years
title_full_unstemmed The history of liver surgery: Achievements over the past 50 years
title_short The history of liver surgery: Achievements over the past 50 years
title_sort history of liver surgery: achievements over the past 50 years
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105847/
https://www.ncbi.nlm.nih.gov/pubmed/32258975
http://dx.doi.org/10.1002/ags3.12322
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