Background : Minimally invasive surgery has been introduced for liver transplantations. Although laparoscopic or robot-assisted living donor hepatectomy is being used, minimally invasive surgery is rarely performed in recipients during liver transplantation.

Methods : We expanded our trial to graft implantation by robotic/laparoscopic hybrid method (anastomosis of the hepatic and portal veins by laparoscopic surgery, and anastomosis of the hepatic artery and bile duct by robotassisted surgery). Then, we performed robot-assisted liver graft implantation after a total laparoscopic explant hepatectomy in living donor LT (LDLT). After these experiences, we performed robot-assisted recipient surgery.

Results : Due to several limitations of minimally invasive surgery, an adequate indication is important. Also, surgical tips to overcome the limitation of these innovative techniques need to know.

Conclusions : In this video, we introduce 7 surgical tips for minimally invasive recipient surgeries.