The future of laparoscopic major liver resection

Tan To Cheung


Laparoscopic liver resection has been gaining recognition in many parts of the world. The bloom is secondary to a successful consensus meeting in Morioka where surgeons around the world met and exchanged ideas. There is a strong need for laparoscopic major hepatectomy because the potential benefit is obvious if the risk and oncological outcome remain the same. It has been shown in many centers that laparoscopic liver resection can be done safely. Although there may be several variations in technique, the complex procedures of inflow control, bile duct division, parenchymal transection and hepatic vein division can be reproduced as in open hepatectomy. With appropriate coaching and increased case volumes, laparoscopic major liver resection will become a standard procedure in the near future.