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Topic: Minimally Invasive Surgery for

HCC

With many reports on encouraging outcomes for hepatocellular carcinoma
(HCC), laparoscopic liver resection has been accepted as an attractive alternative
to open liver resection for treatment for HCC. However, still laparoscopic liver
resection is still considered as difficult procedure, especially for major resection.
In the 1st and 2nd consensus meeting on laparoscopic liver resection meeting, it
was stated that major resection still has a risk associated with its novelty. And
there are several limits in technical aspects. When the tumor is located at postero-
superior area, it is still difficult to perform laparoscopic liver resection. Cirrhosis
is still a limiting condition for this surgery. There is also the limit in control
Ho-Seong Han bleeding when it occurs. However, with the accumulation of the experiences on

Department of Internal laparoscopic liver resection, this procedure is more easily performed than before.
Medicine, Seoul National Anatomic liver resection has been reported to have oncological benefit. And there
University Bundang Hospital, are reports that remnant liver ischemia after liver resection has an adverse effect
Seoul National University on survival. This procedure should be performed very precisely and meticulously.
College of Medicine, Recently, there is a new trend to perform robotic-assisted liver resection. Robotic-
Seongnam, Republic of Korea. assisted liver resection has advantages of ergonomic conveniences and short
President-elect of Korean learning curve. However, there is still a shortage of adequate equipment such as
Society of HBP Surgery, CUSA.
President of the Korean With the evident advantage associated with minimal invasive surgery, minimally
Study Group of Laparoscopic invasive liver surgery will be performed more frequently in the future.
Liver Surgery, ex-Chairman
of Korean Society of
Endoscopic & Laparoscopic
Surgery, Chairman of the
Korean Society of Parenteral
and Enteral Nutrition
(KSPEN), Vice President
of IASMEN(International
Association of Surgical
Metabolism and Nutrition),
treasurer of IASGO.