Study—International Multicentric Minimally Invasive Liver Resection (SIMMILR-5): A Comparison of Open, Conventional Laparoscopic and Tele-Robotic Laparoscopic Liver Resection for Hepatocellular Cancer

Minimally invasive hepatectomy offers perioperative advantages over open surgery for selected patients with HCC, driven primarily by conventional laparoscopy. Tele-robotic hepatectomy is feasible and safe in experienced centers but does not demonstrate superiority over advanced laparoscopic techniques.