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Belli.                                                                                                                                                                                                                            Introduction

           In fact, the role of the mininvasive approach in liver surgery   discussed their technique and results.
           continues to increase, and many types of liver resections,
           even in cirrhotic liver, including major hepatectomies, are   The  authors of  this issue have demonstrated that
           now performed laparoscopically in specialized centers. It   minimally invasive liver surgery in cirrhotic liver is
           is now clear that laparoscopic liver resection for HCC on   feasible, safe and reproducible. It has been performed
           cirrhotic liver has better short results when compared to an   in highly specialised centres by surgeons using new
           open approach. In fact, despite its technical challenges,   technologies. In addition, all the surgeons are expert in
           reduced operative blood loss, fewer early postoperative   both liver and advanced laparoscopic surgery.
           complications, such as postoperative ascites, lower
           analgesic drug requirements, and shorter hospital stay   I am very pleased and sincerely grateful to all of the
           are the clear advantages of the laparoscopic approach.   authors for their outstanding  effort in contributing  to
           Therefore,  laparoscopic  resection  of  HCC  in  cirrhotic   this issue.
           liver is not only feasible and safe in selected patients with
           excellent short-term results, but achieves not inferior long-  Financial support and sponsorship
           term survival end recurrence rates compared with open   None.
           surgery when stratified for tumor characteristics known to
           be related to survival of outcome.                 Conflicts of interest
                                                              There are no conflicts of interest.
           In this special issue of Hepatoma Research focusing
           on “Advances in Minimally Invasive Cirrhotic Surgery”,   Patient consent
           the  challenges  of  this  rapidly  developing  field  are   Not involved.
           addressed.  Each of the contributors  has  referred
           specific aspects of their experienced area, discussing   Ethics approval
           its  limits but also its advantages.  They have also   Not involved.















































            240                                                                                                     Hepatoma Research ¦ Volume 2 ¦ September 19, 2016
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