Resection of the paracaval portion of the caudate lobe of the liver through complete right approach: advantages of a laparoscopic perspective.

The lesions in the paracaval portion are situated in deep locations and adjacent to vital blood vessels. Existing reports regarding the resection of the paracaval portion through a complete right laparoscopic approach are limited. We present a case of a hepatic mass resection in the paracaval portion using a complete right laparoscopic approach. This study documents detailed surgical procedures and postoperative outcomes. The operative time was 160 min, with an intraoperative blood loss of 100 mL. The patient was discharged on postoperative day 5 without experiencing any complications. The postoperative pathological result indicated a hepatic hemangioma. In conclusion, the complete right laparoscopic approach for paracaval portion resection is a safe and effective technique. However, it poses challenges and should be performed in specialized centers equipped with advanced laparoscopic technology.