Abstract:With the popularization of the minimally invasive laparoscopic techniques, laparoscopic hepatectomy has increasingly become the mainstay for the treatment of both benign and malignant liver diseases. Living donor hepatectomy is one of its most attention-drawing and controversial practical uses. From the first pure laparoscopic donor hepatectomy reported in 2002, pure laparoscopic living donor hepatectomy has been frequently used in some experienced transplant centers. Evolving from the early left/left lateral segment grafts to the more complex right liver graft, and from the hand-assisted to pure laparoscopic approach, laparoscopic living donor hepatectomy is now much more mature. Here, the authors review the development history of laparoscopic living donor hepatectomy, and also analyze its technical details based on personal experiences.