[Minimally invasive liver resection-New techniques]

Minimally invasive procedures have been slowly gaining ground in liver surgery since the 1990s but have recently become increasingly more established. In Germany they are now used in around a quarter of all resections for colorectal metastases and much more often in specialized centers. In addition to less blood loss, the advantages include faster postoperative recovery with a correspondingly shorter hospital stay and all this with an oncological safety comparable to open procedures. Robotics provide additional advantages over laparoscopy, especially in complex resections such as posterosuperior segments or vascular and biliary reconstruction. At the same time, artificial intelligence, 3D reconstructions and augmented reality are becoming increasingly more important for planning, navigation and intraoperative safety. Robotics in particular will serve as a technical platform for the increasing digitalization and integration of modern imaging. Despite these advances, open surgery will remain the standard for selected highly complex procedures in the near future.