fig11

Figure 11. Totally laparoscopic hemi-hepatectomy of the right liver for hepatocellular carcinoma (HCC) located adjacent to the confluences of the right hepatic vein. (A) A CT scan showed multiple HCCs in the right liver. One of the tumors was located near the confluence of the right hepatic vein; (B) an additional trocar was placed at the highest portion of epigastrium to reach just to the tumor; (C) the right hepatic vein was successfully encircled extrahepatically; (D) hepatic parenchymal transection was performed by the usual fashion. The right hepatic vein was safely divided by tape retraction and stapling device