Total laparoscopic right hepatectomy for large hepatocellular carcinoma: the first report in Thailand

Limited cases of total laparoscopic right hepatectomy have been reported worldwide due to technically difficulty, especially in a large hepatocellular carcinoma (HCC). The objective of this article is to describe a simple technique for total laparoscopic right hepatectomy which was successfully performed in two patients with large HCC. Anterior approach technique combined with glissonian approach and principle of liver hanging maneuver were used. The detailed surgical technique was described. Total laparoscopic right hepatectomy for large HCC is feasible and safe.