Abstract
These prophetic words, written and sung by Bob Dylan almost 50 years ago, may well apply to the (relatively) new field of minimally invasive surgery of the liver (MISL). Nowadays the open approach to liver surgery (OLS) quickly falls behind in comparison with MISL. Older surgeons still have ringing in their ears the repeated warnings concerning risks related to laparoscopic cholecystectomy (LC). Prominent remarks included a possible increased risk of bile duct injuries [1], a prolonged learning curve [2], and the need for young surgeons to have well-established training in OLS before starting to perform LC. None of these alarms has overcome the tide of LC diffusion, and none of them proved to be effectively true. Thanks to many training modalities, such as dry lab, wet lab, simulators, virtual realities, and practice in large animals (pig), young surgeons directly enter into liver surgery using the laparoscopic approach, and open cholecystectomy is almost always and everywhere an embarrassing memory.
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Calise, F., Migliaccio, C. (2013). Minimally Invasive Surgery of the Liver: An Update. In: Calise, F., Casciola, L. (eds) Minimally Invasive Surgery of the Liver. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2664-3_2
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DOI: https://doi.org/10.1007/978-88-470-2664-3_2
Publisher Name: Springer, Milano
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