Version June 2024
| Procedure steps | Minimally invasive right hepatectomy tips | Minimally invasive left hepatectomy tips | Minimally invasive nonanatomic resection tips |
| Create pneumoperitoneum and place ports | Consider utilization of stable pneumoperitoneum/insufflation management system | Consider utilization of stable pneumoperitoneum/insufflation management system | Consider utilization of stable pneumoperitoneum/insufflation management system |
| Intraoperative ultrasound | Identify targets for resection and exclude pathology in future liver remnant | Identify targets for resection and exclude pathology in future liver remnant | Identify targets for resection and nearby major vasculature |
| Mobilization of ligamentous attachments | Avoid injury to diaphragm, phrenic vein, right adrenal gland, inferior vena cava; consider this step at end of procedure if robotic | Avoid injury to diaphragm, phrenic vein, left hepatic vein, inferior vena cava; consider this step at end of procedure if robotic | |
| Cholecystectomy | Delay cholecystectomy until parenchyma division to use gallbladder to retract liver | Only required when resecting lesions in segment IVB or V | |
| Vascular control | Use a stapler with a curved tip to divide right portal vein | Dissect at base of umbilical fissure to expose left hepatic artery and portal vein away from bifurcations | May require Pringle maneuver |
| Parenchymal transection | Use energy sealing device and vascular stapler | Use energy sealing device and vascular stapler | Use energy sealing device and vascular stapler |
| Hemostasis | Use pressure and bipolar vessel-sealing device | Use pressure and bipolar vessel-sealing device | Use pressure and bipolar vessel-sealing device |
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