Anatomical laparoscopic right posterior sectionectomy

Due to the difficulty in bleeding control and visualization of the surgical field, lesions in the postero-superior segments are generally considered not suitable for laparoscopic resection. However, with gaining experience and improvement in technology, the safety and feasibility of laparoscopic major resection, including those in the postero-superior segments, have been published in recent years. On the other hand, anatomical resection seeks to preserve as much of the liver volume as possible, aids post-operative recovery and may allow future repeat hepatectomy in cases of recurrences. It offers several advantages over non-anatomical resection. This review will discuss about indications, case selection, technical aspects, outcome and learning curve of laparoscopic anatomical right posterior sectionectomy.