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Updated: May 10, 2026

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Three-dimensional Location Approach with Silk Thread Guided Laparoscopic Segmentectomy for Liver Tumor
Published on: May 23, 2025
Comprehensive application of modern technologies in precise liver resection
Nian-Song Qian1, Yong-Hui Liao, Shou-Wang Cai
1Department of Hepatobiliary Surgery, PLA General Hospital, Beijing 100853, China.
Summary
Modern technologies enable precise liver resection, enhancing remnant liver function and structural integrity. Further trials are needed to confirm benefits for hepatocellular carcinoma patients undergoing this advanced surgical approach.
Area of Science:
- Surgical Innovation
- Hepatobiliary Surgery
- Medical Technology
Background:
- Liver surgery has evolved from basic resections to advanced techniques like Da Vinci system-assisted hepatectomy.
- Modern advancements are ushering in an era of precise liver resection.
Purpose of the Study:
- To review the comprehensive application of modern technologies in precise liver resection.
Main Methods:
- Literature search of English-language articles on PubMed.
- Keywords included precise liver resection, liver anatomy, hepatic blood inflow blockage, parenchyma transection, and down-staging treatment.
Main Results:
- 3D imaging systems aid in surgical planning and risk assessment.
- Techniques like Glissonian sheath injection and Pringle maneuver facilitate precise resection and blood flow control.
- Advanced tools (ultrasonic scalpels, Ligasure) minimize bleeding, enabling exsanguinous resection.
- Down-staging therapies (TACE, RFA) convert unresectable tumors to resectable stages.
Conclusions:
- Modern technologies are crucial for precise liver resection, maximizing remnant liver function and structural integrity.
- Further large randomized trials are necessary to validate these technologies for hepatocellular carcinoma patients.

