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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2025; 17(12): 111834
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.111834
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, 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 11.4 Hours
Revised: September 8, 2025
Accepted: November 10, 2025
Published online: December 27, 2025
Processing time: 163 Days and 11.4 Hours
Core Tip
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.