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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.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/suturing-livers-round-ligament-to-cystic-wall-for-hepatic-cysts/406700/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/suturing-livers-round-ligament-to-cystic-wall-for-hepatic-cysts/406700.png","ImageObject",300,407,{"name":42,"@type":43},"Franzy","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What treatment approach was evaluated in this study?","Question",{"text":63,"@type":64},"The study evaluated suturing the liver’s round ligament to the cyst wall after laparoscopic fenestration for hepatic cysts.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was the effectiveness and safety assessed?",{"text":68,"@type":64},"Outcomes included operative duration, intraoperative blood loss, bile leakage or hemorrhage in drainage, and hospital confinement duration, with major complications monitored during follow-up.",{"name":70,"@type":61,"acceptedAnswer":71},"What were the main results for the 15 included patients?",{"text":72,"@type":64},"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).","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},406700,1790739673,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":55,"slug":125},"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":116,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144,"preview_page_count":4},2336478945519,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","| W | J | G | S | World Journal of\u003Cbr>Gastrointestinal Surgery |\n| --- | --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastrointest Surg 2025 December 27; 17(12): 111834  \nDOI: 10.4240/wjgs.v17.i12.111834 ISSN 1948-9366 (online)  \nORIGINAL ARTICLE  \nRetrospective Study  \nSuturing liver’s round ligament to cystic wall for hepatic cysts  \nBao-Qiang Wu, Tao Li, Xu-Dong Zhang, Lei Jin  \nSpecialty type: Gastroenterology and hepatology  \nProvenance and peer review:  \nUnsolicited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade C  \nNovelty: Grade C  \nCreativity or Innovation: Grade C  \nScientific Significance: Grade C  \nP-Reviewer: Shen DF, MD, Assistant Professor, Associate Chief Physician, China  \nReceived: July 15, 2025  \nRevised: September 8, 2025  \nAccepted: November 10, 2025  \nPublished online: December 27, 2025  \nProcessing time: 163 Days and 16.8 Hours  \nBao-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  \nCorresponding 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)  \nAbstract  \nBACKGROUND  \nLaparoscopic fenestration is a common treatment for hepatic cysts, but postoperative recurrence and complications remain concerns.  \nAIM  \nTo evaluate suturing the liver’s round ligament to the cyst wall after laparoscopic fenestration for hepatic cysts.  \nMETHODS  \nThis 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.  \nRESULTS  \nFifteen 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.  \nCONCLUSION  \nSuturing the free pedicled round ligament to the cyst wall after laparoscopic fenestration is feasible and effective, with promising cure rates.  \nKey Words: Laparoscopy; Hepatic cyst; Fenestration drainage; Pedicled round; Ligament of the liver  \n WJGS  [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 27, 2025  Volume 17  Issue 12   \nWu BQ et al. Suturing liver’s round ligament for HC  \n©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.  \nCore 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.  \nCitation: Wu BQ, Li T, Zhang XD, Jin L. Sutur","cbCaie8n0bKYIf0V","https://ap.wps.com/l/cbCaie8n0bKYIf0V","pdf",1407996,"English","# Abstract\n## Background\n## Aim\n## Methods\n## Results\n## Conclusion\n# Introduction\n## Clinical challenges of hepatic cysts\n## Epidemiology and evolving treatment strategies","[{\"question\":\"What treatment approach was evaluated in this study?\",\"answer\":\"The study evaluated suturing the liver’s round ligament to the cyst wall after laparoscopic fenestration for hepatic cysts.\"},{\"question\":\"How was the effectiveness and safety assessed?\",\"answer\":\"Outcomes included operative duration, intraoperative blood loss, bile leakage or hemorrhage in drainage, and hospital confinement duration, with major complications monitored during follow-up.\"},{\"question\":\"What were the main results for the 15 included patients?\",\"answer\":\"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).\"}]","Suturing liver’s round ligament to cystic wall for hepatic cysts | PDF",1790567404,23]