©The Author(s) 2026.
World J Gastroenterol. Jan 7, 2026; 32(1): 113470
Published online Jan 7, 2026. doi: 10.3748/wjg.v32.i1.113470
Published online Jan 7, 2026. doi: 10.3748/wjg.v32.i1.113470
Table 1 Clinicopathological characteristics and perioperative outcomes of minimally invasive repeat liver resection, median (range)/n (%)
| Variable | Overall, n = 72 | Initial group, n = 15 | LSEH group, n = 57 | P value |
| Age (years) | 70 (37-86) | 68 (57-86) | 70 (37-86) | 0.803 |
| Male sex | 55 (76.4) | 13 (86.7) | 42 (73.7) | 0.495 |
| Diagnosis | ||||
| HCC | 35 (48.6) | 8 (53.3) | 27 (47.4) | 1.000 |
| CRLM | 35 (48.6) | 7 (46.7) | 28 (49.1) | |
| ICC | 1 (1.3) | 0 (0) | 1 (1.7) | |
| HCC with hepatolithiasis | 1 (1.3) | 0 (0) | 1 (1.7) | |
| Number of histories of liver resection | ||||
| 1 | 55 (76.4) | 12 (80.0) | 43 (75.4) | 0.604 |
| ≥ 2 | 17 (23.6) | 3 (20.0) | 14 (24.6) | |
| History of open liver resection | 20 (28.2) | 9 (60.0) | 11 (19.6) | 0.004 |
| History of anatomical resection | 18 (25.0) | 1 (6.7) | 17 (29.8) | 0.095 |
| History of multiple liver resection | 22 (30.5) | 3 (20.0) | 19 (33.3) | 0.529 |
| Previous liver resection involving S1/4/5/6 | 50 (69.4) | 9 (60.0) | 41 (71.8) | 0.368 |
| Anti-adhesion barrier use in prior liver resection | 54 (75.0) | 9 (60.0) | 45 (78.9) | 0.180 |
| Types of surgical approach of MISRLR | ||||
| Laparoscopic | 63 (87.5) | 15 (100) | 48 (84.2) | 0.189 |
| Robotic | 9 (12.5) | 0 (0) | 9 (15.8) | |
| Number of recurrent tumors at MISRLR | ||||
| Single | 56 (77.8) | 14 (93.3) | 44 (77.2) | |
| Multiple | 15 (22.2) | 1 (6.7) | 14 (22.8) | 0.786 |
| Recurrent tumor diameter (mm) | 18.0 (5.0-70.0) | 15.0 (8.0-40.0) | 20.0 (5.0-70.0) | 0.273 |
| Type of MISRLR | ||||
| Partial liver resection | 57 (79.2) | 13 (86.7) | 44 (77.2) | 0.368 |
| Sectionectomy | 2 (2.8) | 0 (0) | 2 (3.5) | |
| Left lateral sectionectomy | 3 (4.2) | 0 (0) | 3 (5.3) | |
| Segmentectomy | 10 (13.9) | 2 (13.3) | 8 (14.0) | |
| Pringle maneuver | 57 (79.2) | 5 (33.3) | 52 (91.2) | < 0.001 |
| Open conversion | 2 (2.8) | 1 (6.7) | 1 (1.8) | 0.376 |
| Operative time (minutes) | 331.5 (170-719) | 243.0 (170-719) | 345.0 (178-700) | 0.276 |
| Blood loss (mL) | 70 (0-3200) | 40 (0-3200) | 72 (0-1887) | 0.670 |
| Postoperative hospital stay (days) | 8 (5-43) | 8 (6-43) | 8 (5-39) | 0.128 |
| Morbidity: ≥ Clavien-Dindo III | 4 (5.6) | 1 (6.7) | 3 (5.3) | 1.000 |
| 30-day mortality | 0 (0) | 0 (0) | 0 (0) | 1.000 |
| In-hospital mortality | 0 (0) | 0 (0) | 0 (0) | 1.000 |
- Citation: Kawano Y, Murokawa T, Aoki Y, Hamaguchi A, Ono T, Haruna T, Yoshimori D, Irie T, Ueda J, Shimizu T, Matsushita A, Kawashima M, Ga R, Furuki H, Kanda T, Oshiro Y, Minamimura K, Yoshioka M, Taniai N, Nakamura Y, Yoshida H. Utility of liver surface-guided encirclement of hepatoduodenal ligament for the Pringle maneuver in minimally invasive repeat liver resection. World J Gastroenterol 2026; 32(1): 113470
- URL: https://www.wjgnet.com/1007-9327/full/v32/i1/113470.htm
- DOI: https://dx.doi.org/10.3748/wjg.v32.i1.113470