Laparoscopic right hepatectomy with selective vascular clamping in an anterior approach manner

The annual number of laparoscopic hepatectomy cases is rapidly increasing in the recent decade, along with prosperous development of enhanced recovery after surgery (1). Laparoscopic approach has been widely applied in various hepatectomy, from resection of solitary liver cancer to anatomic resection of multiple segments, even colorectal liver metastasis and living donor hepatectomy (2-4). Indications of laparoscopic hepatectomy have gradually broadened, indicating the possibility of laparoscopic approach in nearly all kinds of hepatectomy cases. Comparing to open hepatectomy, laparoscopic approach showed similar oncologic outcomes and operative safety, which has been verified by a large number of studies (5-6). In this report, we present a surgical case of laparoscopic right hepatectomy with selective vascular clamping in an anterior approach for a 39-year-old female patient with hepatocellular carcinoma (HCC)