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Chinese Journal of Hepatic Surgery(Electronic Edition) ›› 2026, Vol. 15 ›› Issue (02): 167-171. doi: 10.3877/cma.j.issn.2095-3232.2026.02.005

• Expert Opinion • Previous Articles    

Discussion of the plane of laparoscopic hepatectomy: theory and practice of multi-technology integrated plane positioning strategy during hepatectomy

Xiaohua Niu, Changwen Huang()   

  1. Department of General Surgery, Qingyuan Hospital Affiliated to Guangzhou Medical University (Qingyuan People's Hospital), Qingyuan 511500, China
  • Received:2025-08-08 Online:2026-04-10 Published:2026-04-02
  • Contact: Changwen Huang

Abstract:

Laparoscopic anatomical hepatectomy plays an important role in the treatment of benign and malignant liver diseases. However, due to complex anatomical structures of the liver and lack of clear anatomical landmarks, it remains a major challenge to precisely determine the resection plane intraoperatively. In this article, theoretical basis and technical methods of plane positioning during laparoscopic hepatectomy were systematically discussed based on Couinaud's liver segment classification. The precision and safety of laparoscopic anatomical hepatectomy can be significantly improved by integrating three technologies including hepatic pedicle occlusion, ICG fluorescence staining and hepatic vein navigation. Multi-technology integrated plane positioning strategy during hepatectomy is an effective approach to precisely implement laparoscopic anatomical hepatectomy, which is worthy of clinical application.

Key words: Anatomical hepatectomy, Hepatic vein, Indocyanine green(ICG), Laparoscope

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