Suturing liver’s round ligament to cystic wall for hepatic cysts

Sep 28, 2026

Uploaded by Franzy

Laparoscopic fenestration is widely used for hepatic cysts, yet postoperative recurrence and complications remain key clinical concerns. This retrospective case series assessed suturing the liver’s round ligament to the cyst wall after laparoscopic fenestration. Patients treated from December 2022 to March 2024 were evaluated using operative duration, blood loss, bile leakage or hemorrhage in drainage, and length of hospitalization. Among 15 cases, surgeries were completed laparoscopically with minimal blood loss and no major complications; 3–12 month follow-up showed a 40.0% cure rate and 100% total efficacy.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages9

Reading Time23 min

AccessFree to download

Abstract

Background

Aim

Methods

Results

Conclusion

Introduction

Clinical challenges of hepatic cysts

Epidemiology and evolving treatment strategies

| W | J | G | S | World Journal of
Gastrointestinal Surgery | | --- | --- | --- | --- | --- | Submit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastrointest Surg 2025 December 27; 17(12): 111834 DOI: 10.4240/wjgs.v17.i12.111834 ISSN 1948-9366 (online) ORIGINAL ARTICLE Retrospective Study Suturing liver’s round ligament to cystic wall for hepatic cysts Bao-Qiang Wu, Tao Li, Xu-Dong Zhang, Lei Jin Specialty type: Gastroenterology and hepatology Provenance and peer review: Unsolicited article; Externally peer reviewed. Peer-review model: Single blind Peer-review report’s classification Scientific Quality: Grade C Novelty: Grade C Creativity or Innovation: Grade C Scientific Significance: Grade C P-Reviewer: Shen DF, MD, Assistant Professor, Associate Chief Physician, China Received: July 15, 2025 Revised: September 8, 2025 Accepted: November 10, 2025 Published online: December 27, 2025 Processing time: 163 Days and 16.8 Hours 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 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.](China. baoqiang97112@163.com)[ baoqiang97112@163.com](China. baoqiang97112@163.com) 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. Key Words: Laparoscopy; Hepatic cyst; Fenestration drainage; Pedicled round; Ligament of the liver WJGS [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 27, 2025 Volume 17 Issue 12 Wu BQ et al. Suturing liver’s round ligament for HC ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. 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 followup). 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. Citation: Wu BQ, Li T, Zhang XD, Jin L. Sutur

FAQs

What treatment approach was evaluated in this study?

The study evaluated suturing the liver’s round ligament to the cyst wall after laparoscopic fenestration for hepatic cysts.

How was the effectiveness and safety assessed?

Outcomes included operative duration, intraoperative blood loss, bile leakage or hemorrhage in drainage, and hospital confinement duration, with major complications monitored during follow-up.

What were the main results for the 15 included patients?

All 15 surgeries were completed laparoscopically with minimal intraoperative blood loss and no major complications; follow-up showed a 40.0% cure rate and 100% total efficacy (3 to 12 months).

Sep 28, 2026

Uploaded by Franzy