Towards the 2nd International Consensus Conference on Laparoscopic Liver Resection

Abstract

Theoretical superiority of laparoscopic hepatectomy with search of the literature to look for the best available evidence; Survey of the extent of adoption of laparoscopic hepatectomy worldwide; Concentration of major hepatectomy in institutions that handle large numbers of cases; and Evaluation of the difficulty of laparoscopic hepatectomy. Geographic distribution of the respondents 1 Laparoscopic caudal approach to the hepatic hilum and inferior vena cava 2 During this conference, we should extensively discuss how to improve the quality of laparoscopic liver resection. Improving quality also includes how to select the appropriate patients for the surgeon's skills. We will propose a scoring system to define the range of difficulty of laparoscopic liver resection, similar to the Child–Pugh score, so that the beginner can start laparoscopic liver resection easily and safely (Fig. 3). The scoring system incorporates factors such as tumor extent, size, number, location, normal liver, cirrhotic liver, pure, hybrid, HALS and robot. Difficulty scoring system for laparoscopic liver resection. The difficulty index was calculated by adding an applicable score for the extent of liver resection, tumor location, liver function, tumor size, and tumor proximity to major vessels 3 What are the comparative short-term and long-term outcomes of laparoscopic liver resection vs open liver resection? What are the indications according to the difficulty of laparoscopic liver resection? What are the essentials for improving the quality of laparoscopic liver resection? None declared.