Laparoscopic right hepatectomy for hepatocellular carcinoma in cirrhotic patient

Hepatocellular carcinoma (HCC) is the sixth most common malignant tumor worldwide and themost common primary liver cancer. Liver resection or liver transplantation is the therapeutic gold standardsin patient with HCC related with or without underline liver disease. We present a video case of a 68-year-oldwoman admitted to our surgical and liver transplantation unit for HCC on liver segment VII. Patient hasHCV cirrhosis. Patient underwent to previous right portal vein embolization. Model of end staged liverdisease was 7. Body mass index (BMI) was 26.3 and ASA score was 2. Alpha-fetoprotein was 768. Accordingwith our multidisciplinary group, we suggest a laparoscopic right hepatectomy for the patient. Operationtime was 343 min and blood loss estimation was 200 CC. No transfusion was required. Post-operative coursewas uneventful, grade 0 of Clavien-Dindo Classification. Patient was discharged in day 7. Pathology reportdescribes a 17 mm × 15 mm HCC grade 4, pT2N0. Laparoscopic liver resection (LLR) for HCC should beperformed by dedicated surgical teams in hepatobiliary and laparoscopic surgery. The use of LLR in cirrhoticpatients is in many centers proposed as the first-line treatment for HCC or as bridge treatment before livertransplantation.