To explore the safety of right hemihepatectomy by laparoscopic anterior approach combined with circumhepatic lifting in patients with huge right liver tumors.

From January 2016 to January 2020，55 patients with huge right liver tumors who underwent laparoscopic right hemihepatectomy were retrospectively enrolled. The patients were divided into the combined group（n=25）and the conventional group（n=30）according to whether the method of lifting around the liver was used during the operation. Among them，25 patients in the combined group received the anterior approach combined with the method of lifting around the liver，while 30 patients in the conventional group received the anterior approach. SPSS 21.0 software was used for data analysis. Perioperative indicators and liver function indicators were represented by（

The operation was successfully completed in both groups without conversion to open surgery or death. The operation time and intraoperative blood loss of the combined group were better than those of the conventional group（P<0.05）. The total incidence of complications in the combined group was lower than that in the conventional group（P<0.05）. The levels of AST，ALT and TBIL in the two groups were significantly increased 3 days after operation，and gradually decreased 7 days after operation，and there was no significant difference between the two groups（P>0.05）.

Laparoscopic anterior approach combined with suspension around the liver for right hemihepatectomy for patients with huge right liver tumors can fully expose the operative field，facilitate the observation of the course of blood vessels，reduce vascular injury and bleeding，and is a safe and feasible surgical method.