Home    中文  
 
  • Search
  • lucene Search
  • Citation
  • Fig/Tab
  • Adv Search
Just Accepted  |  Current Issue  |  Archive  |  Featured Articles  |  Most Read  |  Most Download  |  Most Cited

Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2026, Vol. 20 ›› Issue (04): 325-325. doi: 10.3877/cma.j.issn.1674-3946.2026.04.007

• Operation Theater • Previous Articles    

Super-minimally invasive laparoscopic segment IV liver tumor resection

Xiyuan Ma1, De'an Mu2, Shaojie Zeng2, Zhiyuan Zhang2, Wei Zhang1,2,()   

  1. 1 Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou Sichuan Province 646000, China
    2 Department of Hepatobiliary Surgery, Jianyang People's Hospital, Chengdu Sichuan Province 641400, China
  • Online:2026-08-26 Published:2026-06-30
  • Contact: Wei Zhang

Abstract:

In recent years, with the continuous updating of laparoscopic equipment and instruments, as well as surgeons' persistent pursuit of minimally invasive techniques, single-port laparoscopic hepatectomy (SPLH) has emerged. Compared with traditional multi-port LH, SPLH offers significant advantages in terms of abdominal wall cosmesis and postoperative incisional pain. However, limited by the "direct vision restriction" and "chopstick effect," single-port surgery is associated with longer operative time and requires a higher level of technical skill from the surgeon, which restricts its widespread adoption. To address this challenge, our team independently developed a 1.98 mm super-minimally invasive grasper and a 0.2 mm T-shaped suture to assist SPLH. This technique reduces the difficulty of single-port surgery while preserving its favorable cosmetic outcomes. The authors define a surgical approach featuring no more than two umbilical incisions with a maximum diameter of 15 mm, and all other abdominal incisions less than 2 mm in diameter, all of which are concealed within the natural depression of the umbilicus, as "Super-minimally Invasive Laparoscopic Surgery (SMLS)." Hepatectomy performed using this approach is termed "super-minimally invasive laparoscopic hepatectomy.".

Key words: Hepatectomy, Single-Port Laparoscopy, Super-Minimally Invasive, T-Shaped Suture

京ICP 备07035254号-3
Copyright © Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), All Rights Reserved.
Tel: 010-63138570 E-mail: zhpwkssx@126.com
Powered by Beijing Magtech Co. Ltd