ObjectiveTo explore the safety and feasibility of laparoscopic left hemi-hepatectomy following middle hepatic vein in the treatment of primary liver cancer. MethodsThe clinical data of 27 patients with primary liver cancer undergoing laparoscopic left hemi-hepatectomy following middle hepatic vein were retrospectively analyzed. All patients were accurately assessed by iconography before operation, and their hepatic blood flow were blocked during operation, with the ultrasonic scalpel, bipolar electrocoagulation, ligasure, Endo-GLA employed to detach the liver tissue following middle hepatic vein. ResultsThe operation was successfully completed in all 27 patients, without conversion to laparotomy. The operation duration was (175.1±50.0) min, intraoperative bleeding volume was (200.2±55.1)mL, and postoperative hospital stays were (6.0±2.2)d. There were no severe complications like abdominal hemorrhage, liver failure, or perioperative death case after operation. ConclusionLaparoscopic left hemi-hepatectomy following middle hepatic vein is safe and reliable, which can be used as a surgical method in treating primary liver cancer.

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