Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2024; 16(2): 409-418
Published online Feb 27, 2024. doi: 10.4240/wjgs.v16.i2.409
Laparoscopic left hemihepatectomy guided by indocyanine green fluorescence: A cranial-dorsal approach
Xing-Ru Wang, Xiao-Ju Li, Dan-Dan Wan, Qian Zhang, Tian-Xi Liu, Zong-Wen Shen, Hong-Xing Tong, Yan Li, Jian-Wei Li
Xing-Ru Wang, Jian-Wei Li, Institute of Hepatobiliary Surgery, First Affiliated Hospital, Army Medical University, Chongqing 400038, China
Xiao-Ju Li, Qian Zhang, Tian-Xi Liu, Zong-Wen Shen, Hong-Xing Tong, Yan Li, Department of Hepatobiliary Surgery, Qujing Central Hospital of Yunnan Regional Medical Center, Qujing 655000, Yunnan Province, China
Dan-Dan Wan, School of Clinical Medicine, Qujing Medical College, Qujing 655000, Yunnan Province, China
Co-first authors: Xing-Ru Wang and Xiao-Ju Li.
Co-corresponding authors: Tian-Xi Liu and Jian-Wei Li.
Author contributions: Wang XR and Li XJ contributed equally to this work, reviewed and edited the manuscript; Wang XR and Li JW contributed to the conceptualization of the study; Wang XR contributed to the methodology, resources and funding acquisition, and is the project administration; Li XJ contributed to the software, formal analysis of the data, contributed to the data curation and drafted the manuscript; Wan DD contributed to the translation; Liu TX and Shen ZW contributed to the validation; Zhang Q contributed to the investigation; Shen ZW and Tong HX contributed to the visualization; Li JW supervised the study; all the authors have read and approved the final version.
Supported by The High-level Talent Training Support Project of Yunnan Province, No. YNWR-MY-2020-053; and the Key Project of the Second People's Hospital of Qujing in 2022, No. 2022ynkt04.
Institutional review board statement: All methods were approved by the Research Medical Ethics Committee of Qujing Second People's Hospital and were performed in accordance with the approved guidelines (Ethical review: 2022-019-01).
Informed consent statement: All human tissue samples were collected by the Qujing Second People's Hospital and written informed consent was obtained from all patients.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: The data supporting this article will be shared upon reasonable request to the corresponding author.
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: Jian-Wei Li, PhD, Additional Professor, Institute of Hepatobiliary Surgery, First Affiliated Hospital, Army Medical University, No. 30 Gaotan Yanzheng Street, Shapingba District, Chongqing 400038, China. 594457357@qq.com
Received: September 13, 2023
Peer-review started: September 13, 2023
First decision: December 8, 2023
Revised: December 14, 2023
Accepted: January 24, 2024
Article in press: January 24, 2024
Published online: February 27, 2024
Processing time: 165 Days and 3.8 Hours
Core Tip

Core Tip: Current laparoscopic hepatectomy (LH) approaches require advanced skills and pose challenges in anatomical landmark identification. Advancements in understanding intrahepatic anatomy and laparoscopic technology will improve LH procedures. By combining a cranial-dorsal approach along the middle vein with the use of indocyanine green staining, we introduce a novel method for laparoscopic left hemihepatectomy. Our new approach is feasible, streamlining the procedure for surgeons and assistants. Our preliminary results indicate that our approach might represent a significant improvement in LH outcomes. Enhanced LH approaches potentially improve patient outcomes.