Laparoscopic liver resection for the treatment of hepatocellular carcinoma

Table 2 Advantages and disadvantages of laparoscopic liver resection in technical aspects

Advantages

Good view and manipulation in a small operative field-minimum damages on the environment around the liver

Meticulous manipulation under magnified view

Less adhesion after surgery

Good view in the dorsal area of the liver around inferior vena cava

Dissection and handling organs/tumors using postural change and the gravity with the maintenance of similar view by the laparoscopic adjustments[43,44]

Less venous bleeding under the pneumo-peritoneal pressure

Disadvantages

Restrictions on the movements of forceps

Difficulties of handling large-sized/volume organs and tumors

These should be conquered with port arrangements and dissection and handling organs/tumors using postural change and the gravity

Lack of tactile sensation

Lack of overview of whole operative field

These easily lead to disorientation during surgery and should be conquered with preoperative (MDCT) simulation plus intraoperative US navigation

MDCT: Multidetector computed tomography; US: Ultrasonography.