Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	116841
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Letter to the Editor
Article Title	Round ligament fixation: A promising alternative for the prevention of hepatic cyst recurrence
Manuscript Source	Invited Manuscript
All Author List	Guang-Bin Chen, Zhi-Lin Wang, Yan-Guang Sha, Rong-Mei Tang and Da-Yong Li
Funding Agency and Grant Number
Corresponding Author	Da-Yong Li, Chief Physician, MD, Department of General Surgery, The Second People’s Hospital of Wuhu, Wuhu Hospital Affiliated to East China Normal University, No. 6 Du Chun Road, Jinghu District, Wuhu 241000, Anhui Province, China. ldywhey1101@163.com
Key Words	Hepatic cysts; Liver round ligament; Laparoscopic fenestration; Cyst recurrence; Omental transposition; Autologous tissue barrier; Minimally invasive surgery; Surgical technique modification
Core Tip	Wu et al introduced a novel technique that uses the round ligament of the liver to prevent hepatic cyst recurrence after laparoscopic fenestration. This approach offers distinct advantages, including consistent anatomical availability, superior reach to high-dome lesions, and avoidance of omental mobilization. Critical gaps remain regarding optimal patient selection, technical standardization of suture placement, and long-term recurrence rates beyond 12 months. Prospective comparative trials with patient-reported outcomes and extended surveillance are essential to validate this autologous solution and to establish its role in contemporary surgical practice.
Citation	Chen GB, Wang ZL, Sha YG, Tang RM, Li DY. Round ligament fixation: A promising alternative for the prevention of hepatic cyst recurrence. World J Gastrointest Surg 2026; In press

Received	2025-11-21 08:08
Peer-Review Started	2025-11-21 08:08
First Decision by Editorial Office Director	2025-12-18 09:00
Return for Revision	2025-12-18 09:00
Revised	2025-12-24 06:21
Publication Fee Transferred
Second Decision by Editor	2026-03-03 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-03 08:02
Articles in Press	2026-03-03 08:02
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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