Liver surgery—less is more

The laparoscopic approach to liver surgery has been increasingly utilized since it was first described in 1992 (1). As of 2016, nearly 10,000 cases were reported in the literature establishing laparoscopy as a safe and effective approach to resection of benign and malignant liver tumors (2). Initially reserved for smaller wedge resections in the anterior segments, advances in technology, development of new approaches and improvement in surgeon skill enabled complex laparoscopic approaches for major hepatectomies including challenging posterior segments.