Background
Liver resection performed through minimally invasive methods has gained popularity in recent years. However, laparoscopic isolated resection of difficult-to-access segments of the liver is done at experienced institutes only and allows a parenchyma sparing surgery.

Materials and Methods
We present here our method of laparoscopic assisted liver right posterior sectionectomy that can be adopted during transition to a pure laparoscopic liver surgery. A 38-year-old lady presented with a mass 6 cm in diameter and located in segment 7 neighboring the right hepatic vein. The patient was placed in lithotomy position. After insertion of trocars and creation of pneumoperitoneum, a hand-port was placed through a 7-cm incision in the right upper quadrant. The right triangular ligament was divided hand-assisted laparoscopically until the right hepatic vein is exposed and taped. The left triangular ligament was also divided. Next, the trocars and port were removed and the hand-port incision was extended 2.5 cm at both ends for hilar dissection and parenchymal transection to be undertaken.

Result
The operation time was 240 min; blood loss was approximately 200 ml. No postoperative complications occurred, and the patient discharged home on postoperative day 4.

Conclusion
Laparoscopic assisted liver surgery is feasible and safe for selected patients with lesions in difficult-to-access posterior segments. We believe this method made it possible to perform hilar dissection and parenchymal transection through a small incision resulting in a quicker recovery.