Introduction : The position of the port is important in laparoscopic hepatectomy. The method of choosing the proper port location for will be the first step needed for those who initiate laparoscopic hepatectomy. However, direction of surgical plane is diverse and the positions per person are slightly different, It is necessary to standardize of port location and to make the appropriate guidelines. Standardization is not easy. Pure 3d Laparoscopic donor Rt. hemihepatecotmy is more standardized procedure than other laparoscopic liver resection.

Methods : From December 2016 to December 2017. 158 donors were underwent pure 3d laparoscopic Rt. hemihepatecotmy. We described advantage and disadvantage depending on the role and location of each port through experience of surgery in the past year.

Results : Our institute is the only center in the world that has performed pure laparoscopic donor surgery over 100 cases. Making a good guidelines provides experience of experienced surgeon to initiate laparoscopic surgery and is important for proper training. It is not appropriate to describe fixed anatomical landmark like a mid-clavicular line or below a few centimeters from rib. It is necessary to determine the position of the port step by step after confirming that role of each port and 1st assistant in the surgical procedure and role of the hand of the surgeon are taken into consideration.

Conclusions : Making optimal port system for pure 3D laparoscopic donor Rt. hemihepatecotmy is the first step. By sharing our experience, we believe that it will be useful for the center to enforce future pure laparoscopic donor Rt. hemihepatectomy.