Laparoscopic liver sectionectomy 2 and 3 (LLS 2 and 3): towards the "gold standard".

BACKGROUND: The purpose of this article is to define the state of the art in laparoscopic liver sectionectomy 2 and 3 (LLS 2 and 3) in order to advance the good option towards the "gold standard". METHODS: Based on a large review of the literature as well as on our personal experience the authors define clearly: the feasibility and the effectiveness of LLS 2 and 3. RESULTS: In this review the conversion rate was <4%, the histological positive margins was <0.8%, and the mortality was inferior to 0.8%. CONCLUSION: The LLS 2 and 3 seem equivalent or perhaps better option compared with the same intervention performed by laparotomy and can be proposed as primary with a grade C recommendation.