腹腔镜右半肝切除术一般选择平卧位，常规采用"五孔法"操作。建立气腹后，常规腹腔镜探查。探查完毕后，依次离断肝圆韧带，镰状韧带，右三角韧带，右冠状韧带，肝肾韧带。解剖胆囊三角，切断胆囊动脉及胆囊管，切除胆囊。打开Glisson鞘，解剖出右肝胆管，并显露右肝动脉、右肝门静脉，均用丝线结扎。沿肝脏表面的缺血线，用超声刀切开肝脏实质，联合百克钳进行止血，其中较大的管道以Hem－o－lok夹闭，必要时缝扎处理。对于肝静脉分支及小静脉血管可采用连发钛夹夹闭。切除完毕后，将断面彻底止血。将标本装入一次性取物袋，取出标本。

Laparoscopic right hemihepatectomy is usually performed by using " five hole" method with supine position. After establishing pneumoperitoneum, intraperitoneal exploration was performed, then ligamentum teres hepatis, falciform ligament, right triangular ligament, right coronal ligament and caudata ligament were dissected respectively. Then gallbladder triangle was dissected, and gallbladder artery and gallbladder tube were cutted, and gallbladder was removed. To dissect Glisson’s sheath and right hepatic duct with expose and ligation of right hepatic artery and portal vein. Along the ischemic line, liver resection was performed by using Sonocut? ultrasonic? knife and biclamp. The large vessels were clamped with a Hem-o-lok or suture when necessary. For hepatic vein branches and small vein, titanium clips were used. After the excision, and intraoperative hemostasis. specimen were remove with the package in a disposable bag.