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

Auriel T. August, Brendan C. Visser


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.