Abstract:

Minimally invasive surgery is a trend in the development of surgery.Laparoscopic technology has been applied in liver surgery for many years，but laparoscopic surgical resection for intrahepatic cholangiocarcinoma，especially combined with regional lymph node dissection，has been gradually carried out in large minimally invasive centers.However，due to the complexity and difficulty of the operation，there is still controversy at present.This article took a video of a right intrahepatic cholangiocarcinoma patient undergoing laparoscopic intrathecal anatomical right hemihepatectomy combined with regional lymph node dissection as an example to explore the surgical process and key points of operation.This surgical procedure firstly involved cholecystectomy，followed by exploration of the 13th and 16th groups of lymph nodes and dissection of the lymph nodes in parallel regions （8th，12th，and 13th groups）.The right hepatic artery and right portal vein were dissected and ligated within the sheath，followed by dissection of the hepatic parenchyma along the ischemic line and the right wall of the middle hepatic vein.Finally，the right hepatic pedicle and right hepatic vein were dissected.Patient discharged from hospital after seven days of rapid recovery after surgery，and received adjuvant treatment with gemcitabine and cisplatin.

Key words: Intrahepatic Cholangiocarcinoma, Laparoscopes, Hepatectomy