Minimally invasive liver surgery—whither else but straight ahead?

Overwhelming clinical evidence supports the use of minimally invasive liver surgery (MILS), at least in case of minor hepatectomy, given its benefits in perioperative outcome measures and postoperative recovery (1,2). Conceptually, these findings make sense in resections where the volume of the liver remnant is large enough to not expect significant post-hepatectomy liver insufficiency and reconvalescence is mostly dependent on the surgical incision.