Background : Hemangioma is the most common type of BLT arising in the liver and is frequently detected incidentally during imaging examinations.

Methods : The patient was placed in a supine position, with his legs apart, in the reversed French position. The right hepatic artery (RHA) was identified and divided, followed by the right portal vein (RPV). The right liver was then mobilized by dividing the right coronary ligament and triangular ligament, which were actually located on the patient's left side. The ischemic demarcation line on the liver was marked with electrocautery. The liver was transected using a Thunderbeat system (Olympus, Tokyo, Japan). The right Glissonean pedicle was divided with an automatic suturing device . Further parenchyma transection was completed after placing a nelaton tube into the anterior portion of the retrohepatic inferior vena cava (IVC). The right hepatic vein (RHV) was divided with an automatic suturing device. The right liver was placed in an endo-bag and extracted through a Pfannenstiel incision site.

Results : We report a case of a giant hepatic hemangioma diagnosed in a 69-year-old man who was hospitalized for intermittent, dull, right upper quadrant abdominal pain. The patient underwent surgery, which was the first case of laparoscopic right hepatectomy (LRH) at the Second State Central Hospital. He underwent a LRH on March 6, 2023, and was discharged on postoperative day 7 without any complications.

Conclusions : PLRH is a challenging procedure that requires expertise, and its performance is limited to only a few institutions because of its inherent technical difficulties.