ArticleWorld journal of surgical oncology2026
Cranial-dorsal approach in laparoscopic anatomical left hemihepatectomy: a retrospective comparative study.
Article in World journal of surgical oncology, 2026. 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
backgroundAchieving a precise transection plane during laparoscopic anatomical left hemihepatectomy (LLH) remains technically demanding. This study evaluated the effectiveness and safety of a cranial–dorsal approach guided by Arantius’ ligament.
methodsIn this single-center retrospective cohort (June 2023–June 2025), 54 patients undergoing LLH were analyzed. Patients were divided into cranial–dorsal (n = 18) and caudal–ventral (n = 36) groups. Outcomes included operative time, blood loss, drain removal, liver function, inflammation markers, and complications.
resultsAll procedures were completed laparoscopically without conversion. The cranial–dorsal group showed shorter operative time, less blood loss, earlier drain removal, and better postoperative liver function, with lower overall complication rates (P < 0.05).
conclusionsThe cranial–dorsal approach enables full-length middle hepatic vein (MHV) exposure, provides a precise transection plane, reduces blood loss, and facilitates early liver function recovery. It is a safe and effective technique.
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