The current status，challenges，and development of laparoscopic liver cancer surgery in China

doi:10.3877/cma.j.issn.1674-3946.2025.03.001.

Abstract

Abstract:

Laparoscopic liver cancer surgery in China has evolved through four distinct stages：exploratory，growth，promotion，and current maturity.During this mature phase，the technical approaches have become standardized，with surgical indications now closely paralleling those of open hepatectomy.Perioperative safety profiles and long-term oncological outcomes have been rigorously validated through multicenter studies.Present efforts focus on nationwide standardization and addressing persistent challenges such as anatomical complexity and training disparities.This article reviews the evolutionary trajectory of laparoscopic liver resection in China，analyzes its current clinical implementation，and discusses remaining barriers alongside future directions for innovation.

Key words: Liver Neoplasms, Laparoscopes, Hepatectomy

Feng Shen, Kui Wang, Jianwei Liu. The current status，challenges，and development of laparoscopic liver cancer surgery in China[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(03): 237-240.

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References 17

［1］	Reich H，McGlynn F，DeCaprio J，et al.Laparoscopic excision of benign liver lesions［J］.Obstet Gynecol，1991，78（5 Pt 2）： 956-958.
［2］	周伟平，孙志宏，吴孟超，等.腹腔镜肝脏肿瘤切除术三例报告［J］.肝胆胰外科杂志，1994，10（1）： 3-4.
［3］	陈孝平，张万广.中国腹腔镜肝癌手术20年回顾与展望［J/CD］.中华普外科手术学杂志（电子版），2021，15（04）： 355-358.
［4］	刘连新，孟凡征.不断提高腹腔镜解剖性肝切除术的规范化［J/CD］.中华普外科手术学杂志（电子版），2024，18（04）：355-358.
［5］	戴朝六，赵阳.解剖性肝切除应该重视的几个问题［J/CD］.中华普外科手术学杂志（电子版），2024，18（04）： 359-362.
［6］	中华医学会外科学分会肝脏外科学组.腹腔镜肝切除专家共识与手术操作指南（2013版［）J］.中华消化外科杂志，2013，12（03）： 161-165.
［7］	刘连新，陈亚进，曹铭辉，等.腹腔镜肝切除术加速康复外科中国专家共识（2017版［）J］.中国实用外科杂志，2017，37（05）：517-524.
［8］	中国研究型医院学会肝胆胰外科专业委员会.腹腔镜肝切除术治疗肝细胞癌中国专家共识（2020版［）J］.中华消化外科杂志，2020，19（11）： 1119-1134.
［9］	Liu J，Zhu X，Pan Y，et al.Prognoses of Patients Treated With Surgical Therapy Versus Continuation of Local-Plus-Systemic Therapy Following Successful Down-Staging of Intermediate-Advanced Hepatocellular Carcinoma： A Multicenter Real-World Study［J］.Oncologist，2024，29（4）： e487-e497.
［10］	Yang K，Sung PS，You YK，et al.Pathologic complete response to chemoembolization improves survival outcomes after curative surgery for hepatocellular carcinoma： predictive factors of response［J］.HPB （Oxford），2019，21（12）： 1718-1726.
［11］	中国抗癌协会肝癌专业委员会转化治疗协作组.原发性肝癌转化及围手术期治疗中国专家共识（2024版）［J］.中华消化外科杂志，2024，23（04）： 492-513.
［12］	陈雪芳，谢浩荣，王恺，等.腹腔镜与开腹再次肝切除术治疗复发性肝细胞癌的安全性及疗效对比［J］.中华肝胆外科杂志，2019，25（03）： 175-178.
［13］	李林欢，宋政，周芬，等.腹腔镜手术治疗复发性肝癌的安全性和疗效分析［J］.中华肝胆外科杂志，2023，29（01）： 38-42.
［14］	陈常红.腹腔镜超声引导的肝脏肿瘤射频消融治疗研究进展［J］.中国医疗器械信息，2024，30（18）： 46-48.
［15］	Musick JR，Philips P，Scoggins CR，et al.Laparoscopic microwave ablation versus percutaneous microwave ablation of hepatic malignancies： Efficacy and recurrence-free survival outcomes in patients［J］.Surgery，2023，173（3）： 598-602.
［16］	Jiang K，Zhang W，Su M，et al.Laparoscopic radiofrequency ablation of solitary small hepatocellular carcinoma in the caudate lobe［J］.Eur J Surg Oncol，2013，39（11）： 1236-1242.
［17］	Ko SE，Lee MW，Ahn S，et al.Laparoscopic Hepatic Resection Versus Laparoscopic Radiofrequency Ablation for Subcapsular Hepatocellular Carcinomas Smaller Than 3 cm： Analysis of Treatment Outcomes Using Propensity Score Matching［J］.Korean J Radiol，2022，23（6）： 615-624.

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[2]	Chuying Wu, Kai Ye. Laparoscopic surgical strategies for different sites of gastrointestinal stromal tumors [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(02): 224-227.
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[6]	Keke He, Haiyang Gu, Shu Xiao, Qi Wei, Xinyu Li. Clinical effect of laparoscopic ileocecal right hemicolectomy in the treatment of right hemicolon carcinoma [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(02): 149-152.
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[8]	Yang Wei, Yuanquan Zhao, Xiaobo Wang, Hai Huang, Jie Chen. Risk analysis and prediction model establishment of early recurrence in patients with BCLC stage 0/A hepatocellular carcinoma after postoperative adjuvant therapy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(02): 157-161.
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[10]	Puliang Qi, Kaihua Sun, Junbang Ren, Lina Ma, Caixia Li, Qingshan Tian. Study on the application of minimally invasive gauze pad in the secondary operation of liver rupture in plateau area [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(02): 196-199.
[11]	Linqiang Xue, Jungang Ge, Lin Gao, Leimin Qian, Jianming Huang. Application of modified SPLT esophagojejunostomy in laparoscopic total gastrectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(02): 212-215.
[12]	and Pancreatic Disease Prevention and Control Specialty Society of Chinese Prevention Medicine Association Hepatobiliary, Branch of China International Exchange and Promotive Association for Medical and Healthcare Hepato-Oncology. Chinese expert consensus on precision guidance technology in diagnosis and treatment of liver tumors（2024 edition） [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(02): 145-157.
[13]	Zhiwen Ding, Yiming Zhao, Lu Wang. Progress in surgical and systematic treatment of intrahepatic cholangiocarcinoma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(02): 187-196.
[14]	Di Zhou, Wei Sun, Jian Gong, Jiandong Wang, Zhiwei Quan, Jun Li. Hepatic surgical anatomy and approach based on the characteristics of hepatic inflow and outflow at subsegmental level [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(02): 209-216.
[15]	Zhipeng Zheng, Guisheng Lin, Xuefang Chen, Liguo Zhang, Fan Zhang. Process optimization of laparoscopic anatomical mesohepatectomy for hepatocellular carcinoma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(02): 232-237.

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