Application of the ligamentum teres hepatis in hepatopancreatobiliary surgery repair and reconstruction

doi:10.3877/cma.j.issn.1674-0793.2026.02.001

Abstract

Abstract:

The ligamentum teres hepatis (LTH), a fibrous band with a potential lumen formed from the obliterated left umbilical vein, offers distinct advantages, including accessibility, good biocompatibility, and absence of immunogenic rejection. In recent years, its value in reconstructive surgery within hepatobiliary and pancreatic surgery has garnered increasing attention. The clinical applications of LTH encompass a wide spectrum, such as achieving surgical hemostasis, repairing biliary defects, reinforcing bilioenteric or pancreaticojejunal anastomoses to prevent bile or pancreatic fistula, and facilitating abdominal vascular reconstruction. This paper describes the anatomical and histological characteristics of LTH and discusses its applications in liver, biliary tract, pancreatic, and abdominal vascular surgery, while also exploring its prospects.

Key words: Ligamentum teres hepatis, Bile duct defect, Venous reconstruction, Hepatopancreatobiliary surgery

Zhiwei Liu, Wentao Zhu, Qiangpu Chen. Application of the ligamentum teres hepatis in hepatopancreatobiliary surgery repair and reconstruction[J]. Chinese Archives of General Surgery(Electronic Edition), 2026, 20(02): 73-78.

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References 47

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