“…This surgical technique requires an important learning curve because it is a prerogative of HB surgeons trained in oncological resections or liver transplantations [ 114 , 115 , 116 , 117 , 118 , 119 ]. To reduce healthcare migration and enhance the patient survival rate, it could organize the Hub&Spoke learning program, similarly to other general surgery procedures [ 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 ]. However, in the era of minimally invasive surgery [ 130 , 131 ], referral centres should also employ robotic or laparoscopic approaches in liver trauma [ 132 , 133 , 134 , 135 , 136 , 137 , 138 , 139 , 140 , 141 ].…”