Complete laparoscopic right hemihepatectomy

Since the first laparoscopic cholecystectomy was performed in 1987, endoscopic surgery has been widely established as a safe and feasible procedure for both benign and malignant diseases (1,2). Comparative studies have demonstrated that laparoscopy is associated with less pain and bleeding, fewer complications, and shorter hospital stay than open liver surgery (3,4). However, due to the unique anatomical structure and technical difficulties, this surgical procedure is limited to specific segmental (segment II, III, IVb, V or VI) or minor anatomic resection (4,5). We have recently showed that, for specific segmental (segment VI, VII, or VIII), laparoscopic hepatectomy with a novel left jackknife position was safe and effective during tumor resection by exposing a sufficient operating field (6). This video (Figure 1) illustrates our technical maneuvers of a totally laparoscopic right hemihepatectomy, highlighting the most relevant technical details essential for extensive laparoscopic liver resection