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Christopher L. Wolfgang, MD, PhD

Arch Surg. 2009;144(2):148.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Numerous reports have documented the feasibility and safety of laparoscopic liver resection for select patients. As the assessment of this approach matures, medium- and long-term outcomes have begun to reach the level of publication. Consistent with other recent work,^1-3 Lai and coworkers demonstrate a midterm survival comparable to that of the open technique. These results support the ability of minimal-access surgery to be performed in an oncologically sound manner for the resection of primary HCC.

A perception exists that minimal-access surgery is superior to the open technique with regard to recovery, earlier discharge, and a more rapid return to daily activities. Indeed, this has been shown to be the case for certain other laparoscopic operations.⁴ Whether this applies to a complex procedure such as a hepatectomy is unclear. Lai and coworkers report a statistically significant 2-day earlier discharge in their minimal-access group compared with retrospectively . . . [Full Text of this Article]

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