Totally laparoscopic ALPPS in the treatment of cirrhotic hepatocellular carcinoma

Background Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a breakthrough in the field of hepatobiliary surgery [1], resulting in the growth of remnant liver volume by 74–87.2 % in 9–13 days [2, 3]. However, patients required to undergo two open operations in a short period of time [2, 3, 4, 5]. To our knowledge, this video is the first description of the technical aspects of totally laparoscopic ALPPS for the treatment of cirrhotic hepatocellular carcinoma (HCC).