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Invited Critique
Jan 2012

Laparoscopic vs Open Liver ResectionTime for a Randomized Trial
Comment on “Oncological Efficiency Analysis of Laparoscopic Liver Resection for Primary and Metastatic Cancer”

Author Affiliations

Author Affiliations: Department of General Surgery and Medical Research Council, Liver Research Centre, University of Cape Town, Cape Town, South Africa.

Arch Surg. 2012;147(1):48. doi:10.1001/archsurg.2011.1018

Major liver resection, although still a challenging operation, is performed on a routine basis. Advances in technology, a better understanding of liver anatomy, and concentration of skills in dedicated units have resulted in safe major resections. The fact that this operation can now be performed via the laparoscope is testament to technological innovation and skill. Laparoscopic liver resections (LLRs) are being performed routinely in several major liver centers around the world. Initially the experience was mainly with minor liver resections, but major liver resections, including right hepatectomy, for benign and malignant (primary and metastatic) disease are increasingly being reported.

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