Totally laparoscopic extended right hepatectomy

Background This video demonstrates the relevant technical maneuvers necessary for performing a totally laparoscopic extended right hepatectomy. Methods The five principal steps of this procedure include mobilization of the liver, control of hepatic inflow, division of the hepatic parenchyma, control of the hepatic outflow, and removal of the specimen. Results A total of five totally laparoscopic extended right hepatectomies have been performed successfully at our institution. Our short- and long-term results have been similar to those for our open historical control subjects. No mortalities have been observed. Conclusion The minimally invasive approach to hepatic resections is limited by the comfort level of the operator and not the technique itself.