Laparoscopic anatomic liver resection

With many reports on encouraging outcomes for HCC, laparoscopic liver resection has been accepted as useful treatment for liver malignancy including HCC. However, still laparoscopic liver resection is still considered as difficult procedure, especially for major resection. The 1^st and 2^nd consensus meeting on laparoscopic liver resection has stated that major resection has a still risk associated with its novelty. And there are several limits in technical aspects. When the tumor is located at postero-superior area, it is still difficult to perform laparoscopic liver resection. There is also the limit in control bleeding when it occur. However, with the accumulation on the experiences of laparoscopic liver resection, this procedure is more easily performed than before. Anatomic liver resection has been reported to have oncological benefit. Laparoscopic anatomic liver resection can be possible by using Glissonian approach. And there are reports that remnant liver ischemia after liver resection has adverse effect on survival. Anatomic liver resection has advantages of minimizing remnant liver ischemia. Recently, there is global trend to perform anatomic laparoscopic liver resection. When perfuming parenchymal liver resection, it is better to be performed very precisely and meticulously.
With the evident advantage associated with minimal invasive surgery, more MIS liver resection will be performed in the future in anatomic ways.