Standardized laparoscopic central hepatectomy based on hilar caudal view and root approach of the right hepatic vein.

Central hepatectomy is considered one of the most difficult procedures to perform laparoscopically (1). However, and thanks to the unique characteristics of the laparoscopic approach, a standardized technique can facilitate its safe performance based on three principles: no liver mobilization, initial glissonian control and root approach of the right hepatic vein. A tourniquet around the hepatic pedicle (2), is exteriorized at the level of the suprapubic incision.