OPTIMIZING LAPAROSCOPIC LIVER RESECTION TECHNIQUES FOR HEPATOCELLULAR CARCINOMA: A FOCUS ON TECHNICAL FEASIBILITY, COMPLICATION RATES AND PATIENT-CENTERED OUTCOMES

Abstract

Hepatocellular carcinoma (HCC) is among the most common and difficult liver cancers, requiring accurate surgical intervention for optimal treatment. Liver transplantation represents the most conclusive treatment; nonetheless, restricted organ availability and exorbitant prices make surgical excision the primary approach for the majority of patients. The laparoscopic liver resection (LLR) technique has become a game-changer because it has the same long-term cancer results as open liver resection (OLR) but a much better short-term recovery due to less morbidity, less invasiveness, and faster rehabilitation. This study offers a thorough investigation of optimizing LLR approaches for HCC, concentrating on technical feasibility, complication rates, and patient-centered results. We examine evidence-based options for patient selection, acknowledging that the advantages of LLR are optimized just for suitably selected instances. The four principal difficulty-scoring systems for LLR are examined to inform surgical decision-making and improve procedural safety. We also look at the progress made in robotically assisted liver resection, focusing on how it can improve difficult surgical techniques and make minimally invasive liver surgery more useful in more situations. This study seeks to deliver actionable insights for enhancing outcomes in patients having laparoscopic liver resection for hepatocellular carcinoma by merging the newest advancements with surgical accuracy, thus establishing new standards of excellence in hepatobiliary surgery.