Robotic Surgical Treatment of Hepatic Diseases

Despite the introduction of minimally invasive liver surgery (MILS) dates back to 1991, this approach had a slower diffusion when compared with other surgical subspecialties because of both technical difficulties and patients’ characteristics. Nonetheless, laparoscopic liver resection (LLR) has clearly shown several benefits, such as reduced postoperative pain, lower adhesions, lower surgical site infections, lower rates of incisional hernia, and shorter hospital stay, while having affordable costs. Thus, after the first two consensus conferences held in Louisville in 2008 and in Morioka in 2014 recommending a safe implementation of the laparoscopic approach, MILS is currently recommended for most surgical liver pathologies by the latest international guidelines.