Novel Use of Falciform Ligament for MHV Reconstruction During Laparoscopic Hepatectomy of Colorectal Liver Metastasis

Reconstructing the major hepatic veins during laparoscopic hepatectomy for colorectal liver metastasis is challenging and requires complex techniques. This study presents a novel method of using the falciform ligament for MHV reconstruction, resulting in successful preservation of liver volume for adjuvant chemotherapy and prevention of venous congestion. The technique was found to be technically demanding but feasible, providing oncological radicality and allowing the patient to remain disease-free without complications one year postoperatively.