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Belli. Hepatoma Res 2016;2:239-40                                    Hepatoma Research
           DOI: 10.20517/2394-5079.2016.16
                                                                                                  www.hrjournal.net
            Topic: Advances in Minimally Invasive Cirrhotic Surgery                             Open Access


           Introduction of the special issue: “Advances

           in Minimally Invasive Cirrhotic Surgery”



           Giulio Belli
           General and HPB Surgery, Loreto Nuovo Hospital, 80121 Naples, Italy.

           Correspondence to: Prof. Giulio Belli, General and HPB Surgery, Loreto Nuovo Hospital, 80121 Naples, Italy.
           E-mail: chirurgia.loretonuovo@tin.it

           How to cite this article: Belli G. Introduction of the special issue: “Advances in Minimally Invasive Cirrhotic Surgery”. Hepatoma Res 2016;2:239-40.
           Article history: Received: 16-05-2016    Accepted: 26-05-2016    Published: 19-09-2016


                             Prof. Giulio Belli obtained his MD degree from University of Naples in 1975. He is the Head of General and HPB
                             Surgery, Loreto Nuovo Hospital, Naples, Italy since 2000. He is Founder member of the World Association of
                             HepatoBilairyPancreatic Association (WHBPA), Former member of the Scientific Committee of International
                             HepatoPancreatoBiliary Association (IHPBA), Former Member of the  Council of the European Hepato-Pancreato-
                             Biliary Association (EHPBA), Founder and Member of the Council of International HepatoPancreatoBiliary
                             Association-Italian Chapter (IT-IHPBA), etc. He serves as Editorial Board Member and Reviewer for many
                             famous journals. Also he is author of 11 HPB book chapters, Invited Speaker in 105 National and 61 International
                             Congress, and author of 351 pubblications.


           Hepatocellular  carcinoma (HCC) is  the  sixth  most   surgery, becoming  the gold  standard  in the surgical
           common type of cancer worldwide  and the third     treatment of much pathology such as biliary lithiasis and
           leading cause of cancer-related death. It is the most   gastro-esophageal reflux. Since the first laparoscopic
           common  primary liver cancer  and its incidence    hepatectomy reported in 1991, laparoscopic  liver
           increases when associated with the development  of   surgery developed  more slowly.  There  are  many
           cirrhosis. Liver resection is a curative therapy, when   reasons for the slow diffusion of the laparoscopic hepatic
           liver transplantation due to the patient age and alcohol   surgery,  such  as  the  presumed  technical  difficulties,
           abuse, associated diseases, and shortage of donors,   the  complicated  management  of  the  bleeding  during
           is not feasible, During the last decades, progress in   parenchymal transection, the lack of dedicated tools
           preoperative  patient  assessment,  refinement  of  the   and the presumed risk of gas embolism. However,
           indications for resection, improved surgical technique,   despite this initial slow development, laparoscopic liver
           and the development of new surgical  devices  have   surgery is now performed worldwide, even in cirrhotic
           greatly enhanced the safety of open hepatectomy    patients. After the 2 Consensus Conferences (Louisville-
           in  normal  and  even  in  cirrhotic  liver.  After  the  first   USA, 2008 and Morioka-Japan, 2014) the advantages
           laparoscopic cholecystectomy performed about 30 years   connected with the mininvasive approach are evident,
           ago,  laparoscopic  approach has been applied more   important and significant, especially in the treatment of
           and more frequently to the full spectrum of abdominal   HCC in cirrhotic liver.

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