Pure laparoscopic anatomical resection of segment IV of the liver for a tumor located close to the middle and left hepatic veins: Hepatic vein-guided approach.

•Laparoscopic liver resection for a tumor in close to major hepatic veins is technically difficult.•Hepatic vein-guided approach is a useful technique for safe dissection and secure resection margin.•We performed laparoscopic liver resection for a tumor in close to major hepatic veins by hepatic vein-guided approach.