Liver resection has traditionally been performed using an open approach,but many academic tertiary centers have adopted a minimally invasive surgical(MIS)approach to liver surgery over the past two decades.Laparoscopi...Liver resection has traditionally been performed using an open approach,but many academic tertiary centers have adopted a minimally invasive surgical(MIS)approach to liver surgery over the past two decades.Laparoscopic liver resection(LLR)remains the most common MIS approach to liver surgery worldwide.However,there has been recent increased adoption of robotic liver resection(RLR).The assumptions made in studying MIS liver surgery,according to the International Consortium on Minimally Invasive Liver Surgery(I-MILS)(1),are similar to those for other forms of MIS surgery.There are certain advantages,such as decreased pain,reduced length of stay(LOS),and lower wound infection rates.However,beyond these benefits,the slow adoption of MIS hepatectomies is due to concerns about using MIS approaches for hemorrhage control,achieving adequate R0 surgical resection of malignancies,and the inevitable learning curve associated with performing such complex surgeries.展开更多
文摘Liver resection has traditionally been performed using an open approach,but many academic tertiary centers have adopted a minimally invasive surgical(MIS)approach to liver surgery over the past two decades.Laparoscopic liver resection(LLR)remains the most common MIS approach to liver surgery worldwide.However,there has been recent increased adoption of robotic liver resection(RLR).The assumptions made in studying MIS liver surgery,according to the International Consortium on Minimally Invasive Liver Surgery(I-MILS)(1),are similar to those for other forms of MIS surgery.There are certain advantages,such as decreased pain,reduced length of stay(LOS),and lower wound infection rates.However,beyond these benefits,the slow adoption of MIS hepatectomies is due to concerns about using MIS approaches for hemorrhage control,achieving adequate R0 surgical resection of malignancies,and the inevitable learning curve associated with performing such complex surgeries.
