Step-by-step isolated resection of segment 1 of the liver using the hanging maneuver

López‐Andújar, Rafael; Montalvá, Eva; Bruna, Marcos; Jiménez-Fuertes, Montiel; Moya, Àngel; Pareja, Eugenia; Mir, José

doi:10.1016/j.amjsurg.2009.02.012

Cited by 15 publications

(14 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Lopez-Andújar et al [10] observed that, the portal vein branches to the caudate lobe came predominantly from the left branch of portal vein, but it may also arise from the right branch of portal veinor the portal vein bifurcation (HB of the present study). Observations in the present study were similar.…”

Section: Discussionsupporting

confidence: 50%

Distribution of Extra Hepatic Branches of Portal Vein to Caudate Lobe

Gosavi¹,

Jadhav²,

Garud³

2016

IOSR

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 50%

Distribution of Extra Hepatic Branches of Portal Vein to Caudate Lobe

Gosavi¹,

Jadhav²,

Garud³

2016

IOSR

View full text Add to dashboard Cite

“…19 Mobilization or rotation of the resected liver with liver tumor can be avoided, helping to prevent tumor dissemination by twisting the liver during operation. 20 This technique has been applied not only for right hemihepatectomy but also for left hepatectomy, 21 isolated caudate lobectomy, 11,12 right or left trisectionectomy, 22 and central hepatectomy. 23 Kim et al reported that LHM can be applied for various anatomical hepatic resections.…”

Section: Discussionmentioning

confidence: 99%

“…However, few reports have shown the application of LHM to complete resection of segment 1 with or without hemi-hepatectomy. [11][12][13] To the best of our knowledge, this technique has not been fully applied for hepatectomy of the left liver combined with total resection of segment 1 in hilar cholangiocarcinoma or liver tumor located in segment 1. 13 We Nanashima A et al, Page 4 introduce herein a modified application of LHM for this hepatectomy, named "dorsally fixed liver-hanging maneuver" (DF-LHM).…”

Section: Introductionmentioning

confidence: 99%

Left hepatectomy accompanied by a resection of the whole caudate lobe using the dorsally fixed liver-hanging maneuver

et al. 2011

View full text Add to dashboard Cite

Abstract.Resection of the caudate lobe needs to be combined with hemi-hepatectomy for hilar cholangiocarcinoma or liver tumor in segment 1. To achieve complete resection of the whole caudate lobe, the cut-line between the right edge of paracaval portion and right lateral sector should be controlled. The liver-hanging maneuver (LHM) is useful for anterior approach without mobilization of the remnant liver. The precise set up of cut-line of the right edge was not indicated by previous reports yet. We herein introduce a new modification of LHM named "dorsally fixed liver-hanging maneuver" (DF-LHM) by the results in 5 patients who underwent left hepatectomy combined total resection of segment 1. This technique provided adequate cut planes along the right edge of the caudate lobe, shortening the transection time and reducing intraoperative blood loss. DF-LHM can be a key technique for this hepatectomy and further applications to other anatomical resections can be expected.

show abstract

“…This concept, using the hanging maneuver, was previously reported for complex hepatic resections. 13,14 The most significant role of the hanging maneuver in ADPPH is the tape that elevates the thick nerve plexus on the root of the CeA and SMA and outlines a proper dissection plane from the anterior to posterior. It also protects the structures behind it: CeA, SMA, left renal vein, and aorta.…”

Section: Discussionmentioning

confidence: 99%