Tips of totally laparoscopic left hepatectomy

Growing data suggest that minimally invasive approaches in hepatic surgery may improve postoperative outcomes without differences in terms of oncological results compared to open resections. These facts have contributed to the growing adoption of this technique for selected patients.However, expertise in both hepatic and advanced laparoscopic surgery is required in order to safely perform laparoscopic liver resections. We present a video depicting technical details for a totally laparoscopic left hepatectomy for hepatocellular carcinoma with left portal vein thrombosis in a cirrhotic patient.