Response: "Conversion During Laparoscopic Liver Resections: a Step Forward"

Operations should be then broken down in steps (i.e. trocar position, preparation of Pringle maneuver, intraoperative ultrasound, mobilization of the liver, pedicle dissection, hepatic veins exposure…) and reviewed with the proctor multiple times in order to speed up the learning process and facilitate the approach to the technique. Every laparoscopic liver resection is in fact made up of different steps each having potential pitfalls; the difficulty of accurately stage the disease through the intraoperative ultrasound, the challenges of managing potential bleeding and the different view during liver mobilization are only examples of what a surgeon has to get through during a laparoscopic resection of the liver.