Bona Fide Intersegmental Plane Hepatectomy Along the Glissonean Branches ( BIPHG )

Read full text
Authors: Go Wakabayashi, Taiga Wakabayashi
Cited by: 1
References: 54

Abstract

(BIPHG). Beginning with pioneering experiences in laparoscopic and robotic liver surgeries, the author highlights key anatomical insights-particularly Laennec's capsule and intersegmental planes-that have advanced surgical precision. Transitioning from laparoscopy-assisted to pure laparoscopic donor hepatectomy illustrated the importance of safety, visualization, and anatomy-guided dissection. Inspired by innovations in intraoperative imaging and microanatomy, the author introduces BIPHG-an innovative tension-based technique utilizing indocyanine green (ICG) fluorescence to define natural intersegmental boundaries along Glissonean branches. This method emphasizes real-time visualization, enabling accurate, minimally invasive, and function-preserving liver resections. The review underscores the significance of standardizing definitions and assessment tools, such as the difficulty score, to facilitate broader adoption. Looking forward, ongoing technological and anatomical advances are expected to further refine these approaches, positioning BIPHG as a promising, safe, and precise strategy in minimally invasive liver surgery. This personal narrative aims to contribute to the continued evolution of anatomy-based, minimally invasive hepatic resection techniques.

Fields of Study & Subjects

Hepatocellular Carcinoma Treatment and Prognosis Organ Transplantation Techniques and Outcomes Minimally Invasive Surgical Techniques

Publication details

Journal / source
Annals of Gastroenterological Surgery
Publisher
Wiley
Volume
10
Issue
4
Pages
975–983
Publication date
20 January 2026
Language
EN