Zhang JW. Navigating the challenges of laparoscopic anatomical SVIII resection: A step forward in hepatobiliary surgery. World J Gastrointest Surg 2025; 17(2): 100847 [DOI: 10.4240/wjgs.v17.i2.100847]
Corresponding Author of This Article
Jin-Wei Zhang, PhD, Professor, Institute of Biomedical and Clinical Sciences, Medical School, Faculty of Health and Life Sciences, University of Exeter, Hatherly Laboratories, Streatham Campus, Stocker Rd, Exeter EX4 4PS, United Kingdom. j.zhang5@exeter.ac.uk
Research Domain of This Article
Biochemistry & Molecular Biology
Article-Type of This Article
Letter to the Editor
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/
World J Gastrointest Surg. Feb 27, 2025; 17(2): 100847 Published online Feb 27, 2025. doi: 10.4240/wjgs.v17.i2.100847
Navigating the challenges of laparoscopic anatomical SVIII resection: A step forward in hepatobiliary surgery
Jin-Wei Zhang
Jin-Wei Zhang, State Key Laboratory of Chemical Biology, Research Center of Chemical Kinomics, Shanghai Institute of Organic Chemistry, Chinese Academy of Sciences, Shanghai 200032, China
Jin-Wei Zhang, Institute of Biomedical and Clinical Sciences, Medical School, Faculty of Health and Life Sciences, University of Exeter, Hatherly Laboratories, Streatham Campus, Exeter EX4 4PS, United Kingdom
Author contributions: Zhang JW designed the overall concept and outline of the manuscript; Zhang JW contributed to the discussion and design of the manuscript; Zhang JW contributed to the writing and editing of the manuscript, illustrations, and review of the literature.
Supported by National Natural Science Foundation of China, No. 82170406 and No. 81970238.
Conflict-of-interest statement: The author declares that he has no conflict of interest to disclose.
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: Jin-Wei Zhang, PhD, Professor, Institute of Biomedical and Clinical Sciences, Medical School, Faculty of Health and Life Sciences, University of Exeter, Hatherly Laboratories, Streatham Campus, Stocker Rd, Exeter EX4 4PS, United Kingdom. j.zhang5@exeter.ac.uk
Received: August 28, 2024 Revised: December 22, 2024 Accepted: December 30, 2024 Published online: February 27, 2025 Processing time: 147 Days and 6.4 Hours
Abstract
This article comments on the study by Peng et al, published in the World Journal of Gastrointestinal Surgery, representing a notable advancement in hepatobiliary surgery. This article examines laparoscopic anatomical segment VIII resection, a challenging procedure due to the complex liver anatomy and difficulty in accessing deep-seated lesions. Peng and colleagues’ experience with caudal and cranial approaches in 34 patients underscores the feasibility of these techniques while sparking debates about the optimal approach. Their study’s strengths lie in technique standardization and comprehensive analysis, although its limitations highlight the need for further research. As minimally invasive liver surgery progresses, larger, prospective trials and integration of advanced technologies are essential for establishing best practices.
Core Tip: This article critically examines a new study by Peng et al on laparoscopic anatomical segment VIII liver resection using a middle hepatic fissure approach. The authors' comparison of caudal and cranial side techniques contributes valuable insights to the ongoing debate about optimal surgical strategies for this challenging procedure. While demonstrating feasibility and safety, the study also highlights the need for larger, prospective trials to definitively establish best practices. As laparoscopic liver surgery continues to evolve, standardization of techniques, integration of advanced technologies, and focus on long-term oncologic outcomes will be crucial for further progress in the field.
