International Consensus on Laparoscopic Liver Resection

  The data used in the consensus are from case reports, case-control studies, retrospective and meta-analyses ① Currently, approximately 25-35% of liver resections can be performed laparoscopically; ② Since 2008, the proportion of laparoscopic hepatectomies has been increasing; ③ Most reported laparoscopic hepatectomies are from minor hepatectomies, but the proportion of major hepatectomies is increasing; ④ Laparoscopic hepatectomies, in both cases (iv) laparoscopic hepatectomy, which has been shown to be safe in two situations: – operated by a trained surgeon – patient selection based on tumor size and location ⑤ no studies have confirmed that laparoscopic hepatectomy is inferior to open hepatectomy ⑥ compared to open hepatectomy: – no increase in mortality; – reduced blood loss and transfusion rates – reduced morbidity, especially in patients with cirrhosis – accurate localization of tumor margins – reduced hospital days ⑦ laparoscopic hepatectomy developments: special site resection, major hepatectomy, anatomic hepatectomy, large tumor volume