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Use and Dissemination of the Brisbane 2000 Nomenclature of Liver Anatomy and Resections

Strasberg, Steven M. MD; Phillips, Carolyn BA

doi: 10.1097/SLA.0b013e31825a01f6

Introduction: The Brisbane 2000 Nomenclature of Hepatic Anatomy and Resections was created to standardize terminology in an area, which previously was characterized by redundant and confusing terms. The purpose of this study was to evaluate the use and dissemination of the nomenclature 10 years after its introduction.

Methods: Two strategies were used to evaluate implementation of the terminology. The first depended on an examination of terms used to describe the anatomy and resection of one half of the liver over the 20-year period from 1990 to 2009. The second approach evaluated the use of the terms “section,” “sectionectomy,” and “trisectionectomy,” which, in reference to the liver, are unique to the Brisbane 2000 Nomenclature.

Results: The use of the Brisbane 2000 terms “right and left hemihepatectomy/hepatectomy” increased dramatically versus the use of the discarded terms “right and left hepatic lobectomy” after the Nomenclature was introduced in 2000. This was especially true in the Americas and Asia where the terms were used in less than 50% of papers from 1990 to 1999 but reached 80% utilization by 2006. Likewise, use of the terms “section,” “sectionectomy,” and “trisectionectomy” increased sharply especially in between 2006 and 2009.

Conclusions: The Brisbane terminology is being adopted worldwide but its adoption is still incomplete.

The Brisbane 2000 Nomenclature of Liver Anatomy and Resections was introduced in 2000 because of the confusing state of affairs that previously existed. This study finds that there has been widespread, but not universal adoption of the terminology.

From the Section of Hepato-Pancreato-Biliary Surgery, Washington University in Saint Louis, MO.

Reprints: Steven M. Strasberg, MD, Washington University in Saint Louis, 660 South Euclid Avenue, Box 8109, Saint Louis, MO 63110. E-mail:

Disclosure: The authors declare no conflicts of interest.

© 2013 Lippincott Williams & Wilkins, Inc.