Challenges and strategies in laparoscopic hepatectomy for liver cancer patients in China

doi:10.3877/cma.j.issn.1674-3946.2025.03.002.

Abstract

Abstract:

With the increasing adoption of laparoscopic liver resection in China，laparoscopic hepatectomy for liver cancer has been shown to be oncologically comparable to traditional open surgery.Laparoscopic liver cancer surgery offers the benefits of reduced trauma and faster recovery.However，due to the complex anatomy of the liver，further advancements in the safety and success rates of laparoscopic liver cancer surgery in the era of precision liver resection require overcoming challenges in preoperative and intraoperative planning，parenchymal transection techniques，and hemorrhage control.Key to the development of laparoscopic hepatectomy for liver cancer in China are comprehensive experience sharing，the establishment of robust training programs，and the development of standardized procedures for laparoscopic liver cancer surgery.

Key words: Liver Neoplasms, Laparoscopic Liver Resection, Strategies

Jianqian Cai, Xinyu Bi, Bowen Xu. Challenges and strategies in laparoscopic hepatectomy for liver cancer patients in China[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(03): 241-244.

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References 11

［1］	Zhou M，Wang H，Zeng X，et al.Mortality，morbidity，and risk factors in China and its provinces，1990-2017： a systematic analysis for the Global Burden of Disease Study 2017［J］.Lancet，2019，394（10204）： 1145-1158.
［2］	Bray F，Ferlay J，Soerjomataram I，et al.Global cancer statistics 2018： GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries［J］.CA Cancer J Clin，2018，68（6）： 394-424.
［3］	Reich H，McGlynn F，DeCaprio J，et al.Laparoscopic excision of benign liver lesions［J］.Obstet Gynecol，1991，78（5 Pt 2）： 956-958.
［4］	Wayand W，Woisetschlager R.［ Laparoscopic resection of liver metastasis］［J］.Chirurg，1993，64（3）： 195-197.
［5］	刘连新，孟凡征.不断提高腹腔镜解剖性肝切除的规范化［ J/CD］.中华普外科手术学杂志（电子版），2024，18（04）： 355-358.
［6］	戴朝六，赵阳.腹腔镜解剖性肝切除应重视几个问题［ J/CD］.中华普外科手术学杂志（电子版），2024，18（04）： 359-362.
［7］	陆朝阳，金也，孙备.不腹腔镜解剖性肝切除的发展［J/CD］.中华普外科手术学杂志（电子版），2024，18（04）： 363-366.
［8］	Zhou YM，Shao WY，Zhao YF，et al.Meta-analysis of laparoscopic versus open resection for hepatocellular carcinoma［J］.Dig Dis Sci，2011，56（7）： 1937-1943.
［9］	Miyagawa S，Makuuchi M，Kawasaki S，et al.Criteria for safe hepatic resection［J］.Am J Surg，1995，169（6）： 589-594.
［10］	Tanoue Y，Nanashima A，Yano K，et al.Significance of the preoperative regional maximal removal rate of technetium-99mgalactosyl human serum albumin in the future remnant liver： a sequential study of regional maximal removal rate of technetium-99m-galactosyl human serum albumin in the whole liver［J］.Nucl Med Commun，2019，40（2）： 145-152.
［11］	de Graaf W，van Lienden KP，Dinant S，et al.Assessment of future remnant liver function using hepatobiliary scintigraphy in patients undergoing major liver resection［J］.J Gastrointest Surg，2010，14（2）： 369-378.

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[6]	Xiaotao Liu, Xuepeng Li, Bo Yang, Jianrong Li, Zhenfeng Xue. Analysis of reasons for same-day cancellations of day surgery in general hospital and the application effect of refined management [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(02): 219-223.
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[14]	Jingming Lu, Dawei Han, Yaoxing Ren, Tianxiao Huang, Junxi Xiang, Xufeng Zhang, Yi Lyu, Fumin Wang. Meta-analysis of lymph node metastasis prediction of intrahepatic cholangiocarcinoma based on preoperative radiomics [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(06): 852-858.
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