First quarter century of laparoscopic liver resection

Core Tip

Core tip: Laparoscopic liver resection (LLR) was introduced in early 1990s. Thereafter, LLR procedures have expanded to left lateral sectionectomy, hemi-hepatectomy, sectionectomy, segmentectomy and partial resection of posterosuperior segments, as well as parenchymal preserving limited and modified anatomical resection. This expansion is related to technological/technical developments with conceptual changes. During this period, two international consensus conferences summarized the up-to-date status and perspective of LLR. The current advantages of LLR include reduced intraoperative bleeding, shorter hospital stay, and lower incidence of complications. Here, we review and discuss the developments of LLR in operative procedures during the first quarter century since its inception.