Laparoscopic right hemihepatectomy is one of the most difficult laparoscopic surgeries. The first series of laparoscopic right hemihepatectomy was reported by O’Rourke N in 2004 (O’Rourke and Fielding 2004). To this day, it is still not considered as a conventional surgery by the majority of institutes of hepato-biliary-pancreatic surgery worldwide. The major reasons hindering the development of this procedure could include the limited space for mobilizing the right lobe, difficulties in managing short hepatic veins and right hepatic pedicle, and the possibility of massive bleeding in liver transection.

In our institute, the technique of hepatectomy by curettage and aspiration and the selective inflow occlusion were routinely carried out in major liver resections that facilitate this procedure much more. Laparoscopic selective inflow occlusion could nearly have the same effect as total vascular occlusion but avoid the complications of ischemia-reperfusion injury and gastrointestinal congestion (Sahin et al. 2004; Malassagne et al. 1998; Teoh and Farrell 2003) and the requirement for fast liver transection. It is supposed to be an ideal technique for bleeding control in laparoscopic major liver resection including the right hemihepatectomy. The supine position is adopted in this procedure, and patients are usually tilted 30–45° left side down that can partly solve the problem of limited space for mobilizing the right lobe.