title: Laparoscopic and robotic approach for hepatocellular carcinoma-state of the art.
abstract: Hepatocellular carcinoma (HCC) is the sixth most common malignant tumor worldwide and the most common primary liver cancer, in over 80% of cases HCC grown on a cirrhotic liver. Laparoscopic liver resection (LLR) is now worldwide accepted considering the excellent results shown. Minimally invasive surgical approach for HCC is increasing continuously and in specialized centers seems to become the first-line approach for those patients. The aim of this review presents and discusses state of the art in the laparoscopic and robotic surgical treatment of HCC. An electronic search was performed to identify all studies dealing with HCC resected with laparoscopy or robotic approach. Indications for laparoscopic resection, robotic assisted and totally robotic resection of HCC will be doubtless increased in future years. LLR and robotic approach for HCC is safe and feasible.
authors.affiliation: Division of General Surgery and Liver Transplantation, S. Camillo Hospital, Rome, Lazio, Italy;; Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy.
authors.forename: Giovanni Battista
authors.initials: GB
authors.lastname: Levi Sandri
authors.affiliation: Division of General Surgery and Liver Transplantation, S. Camillo Hospital, Rome, Lazio, Italy.
authors.forename: Edoardo
authors.initials: E
authors.lastname: de Werra
authors.affiliation: Division of General Surgery and Liver Transplantation, S. Camillo Hospital, Rome, Lazio, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Mascianà
authors.affiliation: Division of General Surgery and Liver Transplantation, S. Camillo Hospital, Rome, Lazio, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Colasanti
authors.affiliation: Division of General Surgery and Liver Transplantation, S. Camillo Hospital, Rome, Lazio, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Santoro
authors.affiliation: Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy.
authors.forename: Vito
authors.initials: V
authors.lastname: D'Andrea
authors.affiliation: Division of General Surgery and Liver Transplantation, S. Camillo Hospital, Rome, Lazio, Italy.
authors.forename: Giuseppe Maria
authors.initials: GM
authors.lastname: Ettorre
keywords: Laparoscopic liver resection (LLR); cirrhosis; hepatocellular carcinoma (HCC); meld; robotic liver