AI Article Synopsis

  • Minimally invasive liver surgery (MILS) is becoming a big deal in treating liver cancer over the last 20 years.
  • More patients who are not able to have traditional surgery can now get MILS because new treatments are making it possible.
  • MILS is generally better than open surgery for recovery and has also opened up options for more people needing liver surgery.

Article Abstract

Minimally invasive liver surgery (MILS) has been slowly introduced in the past two decades and today represents a major weapon in the fight against HCC, for several reasons. This narrative review conveys the major emerging concepts in the field. The rise in metabolic-associated steatotic liver disease (MASLD)-related HCC means that patients with significant cardiovascular risk will benefit more profoundly from MILS. The advent of efficacious therapy is leading to conversion from non-resectable to resectable cases, and therefore more patients will be able to undergo MILS. In fact, resection outcomes with MILS are superior compared to open surgery both in the short and long term. Furthermore, indications to surgery may be further expanded by its use in Child B7 patients and by the use of laparoscopic ablation, a curative technique, instead of trans-arterial approaches in cases not amenable to radiofrequency. Therefore, in a promising new approach, multi-parametric treatment hierarchy, MILS is hierarchically superior to open surgery and comes second only to liver transplantation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10930835PMC
http://dx.doi.org/10.3390/cancers16050966DOI Listing

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