On October 28, with a 5cm diameter hepatic hemangioma successfully removed from the patient’s body, the first laparoscopic hepatic hemangioma resection surgery was successfully completed by the Hepatobiliary Surgery Department of the Transplantation Center of our hospital. The successful implementation of this surgery filled a gap in the treatment of laparoscopic hepatic hemangioma in our hospital and marked a new level of minimally invasive surgical technology in our hospital. Hepatic hemangioma is a benign tumor caused by abnormal development of blood vessels in the liver. A huge hemangioma is like a time bomb placed in the human body, which can easily rupture and cause hemorrhage or even endanger the life once it is hit by external force. The traditional surgery method is to remove the hemangioma or even part or half of the liver by open surgery, which will leave a scar of nearly 20-25cm in the abdomen, and the surgery is very traumatic and slow to recover. The liver is the largest substantial organ in the human abdominal cavity with rich blood supply and brittle tissues. Once the surgery damages the hemangioma or large blood vessels in the liver, there is a risk of uncontrollable hemorrhage, which endangers the patient’s life and is a great test for both the patient and the surgeon. Laparoscopic resection of hepatic hemangioma is more difficult and demanding due to the limited field of view, difficult exposure, difficulty in applying mature and effective open liver resection techniques during surgery, and the lack of surgeon’s sensitive hand, thus only a few tertiary hospitals have carried out this technique. The patient, a middle-aged woman, had right upper abdominal distension and discomfort six months ago, and was found to have an occupying liver lesion in a local hospital. With the support of Director Zou Yiping, Dr. Li Hucheng, attending physician Huang Hui and Dr. Wang Rui Guan of the Hepatobiliary Surgery Department of our transplantation center formed a research team and, based on the patient’s past medical history and current condition, reviewed a large amount of domestic and foreign related data, conducted serious preoperative discussions and thorough planning, and formulated a treatment plan for laparoscopic resection of hepatic hemangioma for the patient. Only two 0.5cm and two 1.0cm incisions were made in the patient’s abdomen, and the recently introduced energy platform Ligasure was applied to precisely separate and cut the diseased tissue along the dividing line between the hemangioma and the normal liver tissue, and the hemangioma located in the left liver was completely removed with a clear surgical view and about 100 ml of blood loss. The operation lasted 50 minutes and did not damage the normal liver tissue. The postoperative recovery was smooth, with 6 hours of postoperative activity on the floor, 12 hours of fluid intake, 3 days of drainage tube removal, and 5 days of healing. Pathology report: right hepatic cavernous hemangioma. According to Dr. Li Hucheng, the use of minimally invasive surgical techniques to perform liver surgery has been the development trend in recent years. Despite the difficulty of surgery, laparoscopic hepatic hemangioma resection has the advantages of light trauma, small scar, less bleeding, quick recovery and short hospitalization days, which cannot be compared with open surgery, and can generally be discharged in 5 to 6 days. The Hepatobiliary Surgery Department of the Transplantation Center has successfully performed a series of difficult surgeries such as splenectomy, biliary-intestinal internal drainage, partial hepatectomy and splenic cyst opening and drainage using laparoscopy. After the success of laparoscopic hepatic hemangioma resection, they are actively preparing to carry out new techniques of international level such as transnatural cavity cholecystectomy, hemihepatectomy and pancreatic resection for the benefit of more patients and to contribute to the development of 309 Hospital!