Laparoscopic liver resection in cirrhosis: the challenge of the posterosuperior segments

Hepatobiliary surgery is among the last frontiers in terms of the advancement and wide acceptance of minimally invasive approaches; particularly with liver resections (1). Given the difficulty of these operations when performed via laparotomy in regard to exposure, hemostasis and adequate oncologic resection; it is understandable why laparoscopic liver resection (LLR) was initially viewed with a healthy dose of skepticism.