Precision liver surgery

Continuous theoretical and technological progress in the face of increasing expectations for quality of health care and progress in medical technology has transformed the surgical paradigm. Based on the historical trends and technique advances, a novel paradigm of “Precision Surgery” has been proposed, which is featuring certainty based practice to ensure the best results for each patient with multi objective optimization of therapeutic effectiveness, surgical safety and minimal invasiveness. The main characteristics of precision surgery may be summarized as determinacy, predictability, controllability, integration, standardization and individualization. The strategy of precision hepatic surgery is to seek a balance of maximizing the removal of the target lesions, while maximizing the functional remnant liver and minimizing surgical invasiveness. The concept of precision surgery should be considered for wider application in liver surgery and other fields as a step toward the ultimate goal of perfect surgery.