Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2025; 17(8): 108959
Published online Aug 27, 2025. doi: 10.4240/wjgs.v17.i8.108959
Laparoscopic hepatectomy based on diseased bile duct tree territory guided by double landmarks for hepatolithiasis: A case report
Yue-Hua Yang, Xiao-Ju Li, Yi-Xuan Liu, Xing-Ru Wang, Jian-Wei Li
Yue-Hua Yang, Xing-Ru Wang, Jian-Wei Li, Institute of Hepatobiliary Surgery of the Army, Southwest Hospital, Army Medical University, Chongqing 400038, China
Xiao-Ju Li, Department of Hepatobiliary Surgery, Qujing Second People’s Hospital of Yunnan Province, Qujing 655000, Yunnan Province, China
Yi-Xuan Liu, School of Basic Medicine, Kunming Medical University, Kunming 650000, Yunnan Province, China
Co-first authors: Yue-Hua Yang and Xiao-Ju Li.
Co-corresponding authors: Xing-Ru Wang and Jian-Wei Li.
Author contributions: Yang YH and Li XJ contribute equally to this study as co-first authors; Wang XR and Li JW contribute equally to this study as co-corresponding authors; all authors contributed to the conception and design of this study; Li XJ and Liu YX performed material preparation, data collection, and analysis; The first draft of the manuscript was written by Wang XR, Yang YH and Li JW; Wang XR, Yang YH, and Li JW commented on the previous versions of the manuscript; all authors have read and approved the final manuscript.
Supported by Education Project of Yunnan Province, No. 2024J1628; and Project of Qujing Medical College in 2024, No. 2024XQ002.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xing-Ru Wang, Professor, Institute of Hepatobiliary Surgery of the Army, Southwest Hospital, Army Medical University, No. 30 Gaotanyan Main Street, Shapingba District, Chongqing 400038, China. hongxing0060@163.com
Received: April 28, 2025
Revised: May 30, 2025
Accepted: June 30, 2025
Published online: August 27, 2025
Processing time: 120 Days and 4.4 Hours
Core Tip

Core Tip: This study describes the complex case of a woman with intrahepatic and extrahepatic bile duct stones and chronic cholangitis who underwent laparoscopic hepatectomy. Laparoscopic hepatectomy for complex hepatolithiasis can be safely performed using double landmarks (diseased bile duct/hepatic vein).