On April 11, after 3 hours and 50 minutes of fierce battle, a liver hemangioma with a diameter of 8.6cm was successfully removed from the liver of patient Wang × × ×. The Department of Hepatobiliary and Biliary Sciences once again challenged the limit of laparoscopic minimally invasive surgery of the hospital, and pushed the laparoscopic hepatic hemangioma resection technology of the hospital a step forward. The patient is a 46-year-old middle-aged woman from the endless Inner Mongolia prairie. Six months ago, she experienced distension and discomfort in the upper abdomen, and was found to have a hepatic hemangioma with a diameter of about 4.6 cm in the local hospital. Two weeks ago, a follow-up examination revealed that the tumor was growing rapidly, and had already compressed the side of the lesser curvature of the stomach, and the abdominal distension and abdominal pain had increased significantly after eating. Since the tumor had already crossed the left outer lobe and left inner lobe of the liver and had a large diameter, many hospitals in Beijing and the local area recommended open abdominal hemangioma removal or left hemihepatectomy. The patient learned through the Internet that 309 Hospital could perform hepatic hemangioma removal by laparoscopy without incision, so he came all the way to the Department of Hepatobiliary Surgery. Director Li Hucheng of the Department of Hepatobiliary Surgery, Transplantation Center of the hospital decided to challenge himself and the limit by performing laparoscopic hepatic hemangioma removal on the basis of the successful laparoscopic removal of a 5.0cm diameter hemangioma through detailed physical examination and imaging analysis. Hepatic hemangioma is a benign tumor caused by the abnormal development of blood vessel structure in the liver, and the giant hemangioma is like placing a time bomb in the body, which will easily rupture once impacted by external force, causing hemorrhage and even endangering life. The traditional surgical 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 on the abdomen, and the surgery is very traumatic and the recovery is slow. 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 the large blood vessels of the liver, uncontrollable hemorrhage may occur, endangering the patient’s life, which 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 vision, exposure difficulties, difficulty in applying mature and effective open liver incision techniques during the operation, and the lack of surgeon’s sensitive sense of touch, which makes the operation more difficult and demanding, and only a few tertiary hospitals have carried out this technique. Director Li Hucheng, Attending Physician Huang Hui, Dr. Wang Ruiguan, and Dr. Wu Tiantian formed a team and cooperated with each other to make a laparoscopic resection of hepatic hemangioma for the patient. Only three incisions of 0.5 cm and two incisions of 1.0 cm were made in the patient’s abdomen, and the recently introduced energy platform Ligasure as well as the ultrasonic knife were applied to accurately separate and cut the diseased tissues along the demarcation line between the hemangioma and the normal liver tissues, and the hemangioma located on the left side of the liver was completely resected with a clear view of the operation, and the loss of blood was about 400 ml, and the operation lasted for three hours and 50 minutes, with no damage to the normal liver tissues at all. The operation lasted 3 hours and 50 minutes without damaging the normal liver tissue. The operation lasted 3 hours and 50 minutes, without damaging the normal liver tissue. The postoperative recovery was smooth, he went down to the ground 12 hours after the operation, took fluids 24 hours after the operation, and pulled out the drain tube in three days, and was now discharged from the hospital after being cured. Director Li Hucheng introduced that our hospital has mature experience in using minimally invasive surgical techniques to perform biliary surgery, but laparoscopic liver surgery is less common due to the difficulty and danger of the operation. In the last two years, our hospital has made bold attempts in laparoscopic splenic surgery, liver surgery and pancreatic surgery, and has achieved success and accumulated initial experience. The Department of Hepatobiliary III has successfully carried out a series of difficult surgeries, such as laparoscopic partial hepatectomy, laparoscopic open drainage of huge splenic cysts, and laparoscopic resection of hepatic hemangioma. However, the Department of Hepatobiliary and Biliary Medicine is not satisfied with the achievements made, and has the courage to challenge, forge ahead, climb the ladder and make progress. This laparoscopic hepatic hemangioma resection is extremely challenging and has pushed the laparoscopic liver surgery technology of our hospital to a new height. On this basis, the Department of Hepatobiliary Surgery is actively brewing and preparing to climb the technical peak of laparoscopic hemihepatectomy, contributing to the development of Hospital 309!