Reducing invasiveness in liver surgery-where is the limit?

doi:10.4240/wjgs.v17.i2.101852

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Feb 27, 2025 (publication date) through Feb 3, 2025

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Feb 27, 2025; 17(2): 101852
Published online Feb 27, 2025. doi: 10.4240/wjgs.v17.i2.101852

Reducing invasiveness in liver surgery-where is the limit?

Ivan Romic, Ivan Separovic, Dora Grgic, Igor Petrovic, Josip Mavrek, Hrvoje Silovski

Ivan Romic, Ivan Separovic, Josip Mavrek, Department of Surgery, University Hospital Centre Zagreb, Zagreb 10000, Croatia

Dora Grgic, Department of Gastroenterology and Hepatology, University Hospital Centre Zagreb, Zagreb 10000, Croatia

Igor Petrovic, Hrvoje Silovski, Department of Hepatobiliary Surgery and Transplantation, University Hospital Center Zagreb, Zagreb 10000, Croatia

Co-first authors: Ivan Romic and Ivan Separovic.

Author contributions: Romic I and Grgic D contributed conceptualization and methodology; Silovski H and Petrovic I did review of literature; Separovic I and Mavrek J contributed to the writing, and editing the manuscript.

Conflict-of-interest statement: No conflict of interest to report.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Ivan Romic, FEBS, Consultant Physician-Scientist, Department of Surgery, University Hospital Centre Zagreb, Kispaticeva 14, Zagreb 10000, Croatia. i.romic@gmail.com

Received: September 28, 2024
Revised: November 29, 2024
Accepted: December 31, 2024
Published online: February 27, 2025
Processing time: 115 Days and 20.7 Hours

Core Tip

Core Tip: Liver resections are physiologically demanding procedures and there is significant risk of serious intraoperative bleeding as well as postoperative liver failure especially in cases of major hepatectomies. Technical and technological improvements may reduce these risks and extraglissonean laparoscopic approach present most recent improvement in this field. This technique contributes to precision in liver surgery and spares liver parenchyma. However, to employ this technique, a good patient selection and through preoperative planning is required.