Minimally invasive surgery (MIS) lowers surgical risks in both initial and repeat hepatectomies, crucial for improving patient outcomes.

• In initial hepatectomy patients, MIS is linked to a lower risk of postoperative morbidity.
• For repeat hepatectomies, each point increase in adhesion severity (TORAD v2.0) raises morbidity risk by 60%, while MIS reduces this risk significantly (odds ratio 0.09).

Employing MIS may lead to better surgical outcomes and reduce complications linked to severe adhesions.