ArticleWorld journal of gastrointestinal surgery2025
Suturing liver's round ligament to cystic wall for hepatic cysts.
Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundLaparoscopic fenestration is a common treatment for hepatic cysts, but postoperative recurrence and complications remain concerns.
aimTo evaluate suturing the liver's round ligament to the cyst wall after laparoscopic fenestration for hepatic cysts.
methodsThis retrospective case series study involved patients who underwent the novel surgical technique at the Second People's Hospital of Changzhou, affiliated with Nanjing Medical University, between December 2022 and March 2024. The perioperative indicators observed included operative duration, intraoperative blood loss, the occurrence of bile leakage or hemorrhage within the drainage fluid, and the duration of hospital confinement.
resultsFifteen patients were included. The surgeries were successfully completed laparoscopically, with a mean operative duration of 75.0 ± 15.4 minutes and minimal intraoperative blood loss. No major complications, such as significant bleeding, bile leakage, or intra-abdominal infections, were reported. The follow-up period, ranging from 3 months to 12 months, revealed a cure rate of 40.0% and a total efficacy rate of 100%, with no cases deemed ineffective.
conclusionSuturing the free pedicled round ligament to the cyst wall after laparoscopic fenestration is feasible and effective, with promising cure rates.
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