Despite recent progress in diagnostics for hepatocellular carcinoma, t
he rate of resectability remains low, mainly because of the advancemen
t of the underlying liver disease. We report a case of a 54-year-old m
an with a hepatocellular carcinoma and poor liver function that was tr
eated successfully with a laparoscopic hepatic resection. Laparoscopic
hepatic resection is considered to be feasible with the aid of an ult
rasonic dissector and a microwave coagulator; however, close attention
should be paid to the development of air embolism and hepatic vein in
jury.