Frequent access to robotic platforms leads to better outcomes in liver resection.

• Conversion rate was 10.8%, with significant variance in blood loss based on imm grade: 184 ml (grade 1), 381 ml (grade 2), 753 ml (grade 3).
• Competency was achieved faster by surgeons with high-frequency access (35 cases vs. 47 cases).

Structured training and regular access are vital for minimizing complications in robotic liver surgery.

• Key risk factors for complications include age over 70, metabolic syndrome, tumor size >5 cm, and lower procedural frequency.

Anatomical resection can significantly reduce early recurrence rates in select hepatocellular carcinoma patients.

• In patients with tumors ≤5 cm and non-smooth margins, anatomical resection led to a 16.76% absolute reduction in early recurrence risk.
• Patients with these characteristics showed improved recurrence-free survival compared to non-anatomical resection.

Identifying patients with specific radiological features can optimize surgical decision-making and enhance outcomes in HCC treatment.

• Over 30% of patients who underwent non-anatomical resection might have benefited from anatomical resection.

Surgeons can safely resect complex liver tumors using a novel two-stage approach that minimizes ischemic injury.

• Combining total vascular exclusion with veno-venous ECMO and hypothermic perfusion led to negative margins in a patient with unresectable intrahepatic cholangiocarcinoma.
• Operative time was 4 hours and 3 minutes, with 72 minutes of hypothermic perfusion and 130 minutes of ECMO support, resulting in uneventful recovery.

Consider this approach for patients with centrally located liver tumors previously deemed unresectable.

• The method may reduce complications and improve outcomes in high-risk surgical cases.