Pure laparoscopic hepatectomy for hepatocellular carcinoma with chronic liver disease

Figure 5 Pure laparoscopic hepatectomy is efficient between the adhesions and the peri-inferior vena cava area: case 3. Two years after a central bisectionectomy for hepatocellular carcinomas (HCC) at the roots of hepatic veins (A), a 66-year-old man developed a new prominent HCC on the left caudate lobe of the liver (B). Following the second pure laparoscopic hepatectomy, there was massive adhesion in the area of right upper abdomen (C). However, good view and access to the tumor were obtained with the dissection of omentum minus (D).