Wu BQ, Li T, Zhang XD, Jin L. Suturing liver’s round ligament to cystic wall for hepatic cysts. World J Gastrointest Surg 2025; 17(12): 111834 [DOI: 10.4240/wjgs.v17.i12.111834]
Corresponding Author of This Article
Bao-Qiang Wu, Department of Hepato-Biliary-Pancreatic Surgery, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, No. 68 Gehu Road, Wujin District, Changzhou 213000, Jiangsu Province, China. baoqiang97112@163.com
Research Domain of This Article
Medicine, General & Internal
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Dec 27, 2025 (publication date) through Dec 25, 2025
Times Cited of This Article
Times Cited (0)
Journal Information of This Article
Publication Name
World Journal of Gastrointestinal Surgery
ISSN
1948-9366
Publisher of This Article
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Share the Article
Wu BQ, Li T, Zhang XD, Jin L. Suturing liver’s round ligament to cystic wall for hepatic cysts. World J Gastrointest Surg 2025; 17(12): 111834 [DOI: 10.4240/wjgs.v17.i12.111834]
World J Gastrointest Surg. Dec 27, 2025; 17(12): 111834 Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.111834
Suturing liver’s round ligament to cystic wall for hepatic cysts
Bao-Qiang Wu, Tao Li, Xu-Dong Zhang, Lei Jin
Bao-Qiang Wu, Tao Li, Xu-Dong Zhang, Lei Jin, Department of Hepato-Biliary-Pancreatic Surgery, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou 213000, Jiangsu Province, China
Author contributions: Wu BQ and Li T carried out the studies and participated in collecting data; Zhang XD and Jin L performed the statistical analysis and participated in its design; Wu BQ and Zhang XD participated in the acquisition, analysis, or interpretation of data; Wu BQ, Li T, and Zhang XD drafted the manuscript; and all authors read and approved the final manuscript.
Institutional review board statement: his study was approved by the Medical Ethics Committee of the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, approval No.[2024] YLJSA013.
Informed consent statement: All participants were informed about the study protocol and provided written informed consent to participate in the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: All data generated or analyzed during this study are included in this published article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bao-Qiang Wu, Department of Hepato-Biliary-Pancreatic Surgery, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, No. 68 Gehu Road, Wujin District, Changzhou 213000, Jiangsu Province, China. baoqiang97112@163.com
Received: July 15, 2025 Revised: September 8, 2025 Accepted: November 10, 2025 Published online: December 27, 2025 Processing time: 163 Days and 11.6 Hours
Abstract
BACKGROUND
Laparoscopic fenestration is a common treatment for hepatic cysts, but postoperative recurrence and complications remain concerns.
AIM
To evaluate suturing the liver’s round ligament to the cyst wall after laparoscopic fenestration for hepatic cysts.
METHODS
This 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.
RESULTS
Fifteen 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.
CONCLUSION
Suturing the free pedicled round ligament to the cyst wall after laparoscopic fenestration is feasible and effective, with promising cure rates.
Core Tip: This study introduces an innovative modification to laparoscopic hepatic cyst fenestration - suturing the free pedicled round ligament to the cyst wall. In 15 patients, this technique demonstrated safety (no major complications), efficiency (75 ± 15.4 minutes operation time), and effectiveness (40% cure rate, 100% total efficacy at 3-12 months follow-up). By utilizing autologous tissue to potentially reduce recurrence risks, this approach addresses a key limitation of conventional fenestration. The promising results suggest this simple yet novel technique could become a valuable addition to the surgical management of hepatic cysts, warranting further investigation.
