title: Evidence supporting laparoscopic major hepatectomy.
abstract: Laparoscopic liver resection (LLR) has been increasing in frequency with over 9,000 cases done worldwide. Benefits of laparoscopic resection include less blood loss, smaller incisions, decreased postoperative morbidity, and shorter length of stay compared to open liver resection. With increased experience, several centers have reported series of laparoscopic major hepatectomy, although this represents only about 25% of total LLR performed. Evidence is accumulating to support laparoscopic major hepatectomy with the understanding that there is a steep learning curve, and surgeons should begin with minor LLR before moving on to laparoscopic major hepatectomy. Controversy still remains concerning indications, techniques, learning curve, risks, and long-term cancer outcomes with laparoscopic major hepatectomy.
authors.affiliation: Division of Hepatobiliary and Pancreatic Surgery, UPMC Liver Cancer Center, University of Pittsburgh, 3459 Fifth Avenue, UPMC Montefiore, 7 South, Pittsburgh, PA 15213-2582, USA. cheeksm@upmc.edu.
authors.forename: Susannah M
authors.initials: SM
authors.lastname: Cheek
authors.affiliation: Division of Hepatobiliary and Pancreatic Surgery, UPMC Liver Cancer Center, University of Pittsburgh, 3459 Fifth Avenue, UPMC Montefiore, 7 South, Pittsburgh, PA 15213-2582, USA.
authors.forename: Iswanto
authors.initials: I
authors.lastname: Sucandy
authors.affiliation: Division of Hepatobiliary and Pancreatic Surgery, UPMC Liver Cancer Center, University of Pittsburgh, 3459 Fifth Avenue, UPMC Montefiore, 7 South, Pittsburgh, PA 15213-2582, USA.
authors.forename: Allan
authors.initials: A
authors.lastname: Tsung
authors.affiliation: Division of Hepatobiliary and Pancreatic Surgery, UPMC Liver Cancer Center, University of Pittsburgh, 3459 Fifth Avenue, UPMC Montefiore, 7 South, Pittsburgh, PA 15213-2582, USA.
authors.forename: J Wallis
authors.initials: JW
authors.lastname: Marsh
authors.affiliation: Division of Hepatobiliary and Pancreatic Surgery, UPMC Liver Cancer Center, University of Pittsburgh, 3459 Fifth Avenue, UPMC Montefiore, 7 South, Pittsburgh, PA 15213-2582, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Geller
mesh_terms: D006498:Hepatectomy / Q000639:trends*; D006801:Humans; D010535:Laparoscopy / Q000639:trends*; D008113:Liver Neoplasms / Q000601:surgery*; D017063:Outcome Assessment, Health Care
keywords: Hepatectomy; Laparoscopic hepatectomy; Laparoscopic surgery; Major hepatectomy