Minimally invasive surgery is the trend of development of modern surgery. As the representative of mini-mally invasive surgery, laparoscopy has widely been used in surgeries for visceral diseases. Liveris the biggest so lidorgan inThe abdominalcavity, with complicate danato mical structureandimportant biological functions. Laparoscopiche paticsurgeries were thought tobe difficult and with high risk.Inrecentyears,laparoscopic surgery has been widely applied in the hepatic surgery as the improvement of laparoscopic techniques and instruments. The application of laparoscopy has been extended frommarginal and local resection for hepaticbenign diseases to major cation and anatomical segmentectomy. Inchina, patients with liver cancer or hepatolithi as is havehigh recurrencerate, andpart of the patients had to receive reoperation. Further more,patients with hepatic cancer were usually complicated withhepatic cirrhosis, and patients with hepatolithias is wereeasilycomplicated with hepaticatrophy, hepatic cirrhos is orcavoportal transposition, which hinder the application of laparoscopyfor the treatment of liver cancer and hepatolithiasis. Inthisarticle, we investigate the application and update of laparoscopic techniques in a natomical hepatictomy and re-hepatectomy based on the experiences of 800 cases of laparoscopichepatectomy.
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