Pure laparoscopic hepatectomy for hepatocellular carcinoma with chronic liver disease

Figure 3 Pure laparoscopic hepatectomy is efficient in the subphrenic space: case 2. An 80-year-old woman with liver cirrhosis developed a hepatocellular carcinomas in the dorsal area of subsegment 8c of the liver revealed in computed tomography examination (A and B). Since the tumor compressed the right hepatic vein and her liver function seemed not to tolerate right hepatectomy or extended anterior sectionectomy, she underwent partial resection of the liver with the dissection and exposure of right hepatic vein and tumor capsule in pure laparoscopic hepatectomy. The tumor was located deeply in the subphrenic space (C) just next to the attachment of retro-peritoneum (D).