Who is a good candidate for this procedure, and who is not?

Good candidates include patients with primary liver cancer (hepatocellular carcinoma) or limited liver metastases, where the tumor is confined to a single lobe and the remaining liver function is adequate. Contraindications include extensive tumor spread, severe cirrhosis with poor liver reserve, uncorrectable coagulopathy, or tumors located near major blood vessels that cannot be safely resected laparoscopically. A thorough preoperative evaluation, including imaging and liver function tests, determines eligibility.