Central liver resection such as right paramedian sectoriectomy (ie, resection of segments
5 and 8) can be carried out for liver carcinoma.
1
To achieve this anatomic resection, it is necessary to control portal pedicles and
to ensure adequate exposure of the right or middle hepatic veins. The liver hanging
maneuver (LHM) proposed by Belghiti et al.
2
is useful to reduce the time of hepatic transaction and blood loss. It involves lifting
a tape placed between the vena cava and infra-hepatic caudate process. The LHM can
be applied to central liver resection. We describe the application of LHM for right
paramedian sectoriectomy for lifting 2 transected areas (ie, “double liver hanging
maneuver”).To read this article in full you will need to make a payment
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References
- Treatment of centrally located hepatocellular carcinoma with central hepatectomy.Surgery. 2003; 133: 251-256
- Liver hanging maneuver: a safe approach to right hepatectomy without liver mobilization.Am Coll Surg. 2001; 193: 109-111
- Sling suspension of the liver in donor operation: a gradual tape-repositioning technique.Transplantation. 2003; 76: 803-807
- Various liver resections using hanging maneuver by three Glisson’s pedicles and three hepatic veins.Ann Surg. 2007; 245: 201-205
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© 2007 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
