Laparoscopic right hemihepatectomy offers benefits that may improve patient recovery despite its complexity.

• Laparoscopic patients had a shorter time to functional recovery (5 vs. 6 days) and shorter hospital stays (5 vs. 6 days).
• Operating times were longer for laparoscopic procedures (332 vs. 263 min), but other outcomes showed no significant differences.

Surgeons should consider the laparoscopic approach for right hemihepatectomy with appropriate skill, as the recovery benefits are notable.

• Interaction effects between surgical approach and hemihepatectomy side were not significant, indicating consistent outcomes across both approaches.