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Laennec capsule based on anatomical procedures in hepatobiliary surgery

This special issue aims to bring together leading experts to promote dialogue and share insights, further advancing the implementation of anatomical liver surgery.

Guest editors:

Dr. Decai Yu, Nanjing University Medical School Affiliated Nanjing Drum Tower Hospital, Nanjing, China

Special issue information:

Under clear anatomical layers during procedures, surgeons can efficiently expose and dissect the target vessels, which effectively shortens surgical time, facilitates intraoperative lymph node dissection, and reduces postoperative complications. The liver is a solid organ, therefore hepatobiliary surgeons are accustomed to break up the liver parenchyma to expose intrahepatic vessels with various instruments, which thereby destroys the anatomical layers inside and outside the liver. Recently hepatobiliary scholars have gradually paid attention to the Laennec capsule, which is severed as the landmark for liver mobilization, establishment of the retrohepatic tunnel, and dissection of the hepatic pedicles and hepatic veins under laparoscopy (Figure 1). Domestic and international scholars have further expanded the clinical practice of Laennec capsule as procedure landmark for suspicious gallbladder cancer, or difficult cholecystectomy. Therefore, it is very necessary to organize a special issue to discuss the necessity and feasibility of Laennec capsule as the anatomical layers during hepatobiliary surgery, to publish clinical research on Laennec capsule as the anatomical layers during hepatobiliary surgery. With innovative research and clinical trials in this field, we aim to provide a comprehensive overview of Laennec capsule-based implementation of hepatobiliary surgery. This special issue aims to bring together leading experts to promote dialogue and share insights, further advancing the implementation of anatomical liver surgery.

Potential topics include, but are not limited to, the following reviews, case reports with or without videos, or articles:

  1. Anatomical research on the liver Laennec capsule;
  2. Histological and embryological research on the liver Laennec capsule;
  3. Clinically relevant research on Laennec capsule-guided anatomical liver resection;
  4. Clinical research on Laennec capsule guidance for suspicious gallbladder cancer;
  5. Clinical research on Laennec capsule guidance for difficult cholecystectomy;
  6. Clinical research on Laennec capsule guidance for the surgical treatment of Mirizzi syndrome.

ilivercp.png

Figure.1 The schema of a novel surgical approach during hepatectomy based on Laennee's capsule. Laennec's capsule (orange line) covers not only the entire surface of the liver parenchyma beneath the serosa (black line) including the bare area but also the intrahepatic parenchyma surounding the Glissonean peticles (green line) which is referred to Hu’s paper (Hu Y, Shi J, Wang S, Zhang W, Sun X, Sun B, Yu D. Laennec's approach for laparoscopic anatomic hepatectomy based on Laennec's capsule. BMC Gastroenterol. 2019 Nov 21;19(1):194. doi: 10.1186/s12876-019-1107-9.). Based on Laennec's capsule, each arrow respectively guides the mobilization of the liver, the separation of the hepatic pedicle, and the exposure of the hepatic veins and the inferior vena cava.

Manuscript submission information:

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Please choose Article Type Name "VSI: Laennec approach in hepatobiliary surgery" at the first step.

Keywords:

liver diseases, anatomical procedures, anatomical layer, Laennec capsule

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