Development and clinical usefulness of the liver hanging maneuver in various anatomical hepatectomy procedures

Surgery Today ◽  
2015 ◽  
Vol 46 (4) ◽  
pp. 398-404 ◽  
Author(s):  
Atsushi Nanashima ◽  
Takeshi Nagayasu
Keyword(s):  
Clinical Usefulness ◽  
Liver Hanging Maneuver ◽  
Anatomical Hepatectomy ◽  
Hanging Maneuver

Liver hanging maneuver: an anatomic and clinical review

2007 ◽  
Vol 193 (4) ◽  
pp. 488-492 ◽  
Author(s):  
Sébastien Gaujoux ◽  
Richard Douard ◽  
Giuseppe Maria Ettorre ◽  
Vincent Delmas ◽  
Jean-Marc Chevallier ◽  
...  
Keyword(s):  
Clinical Review ◽  
Liver Hanging Maneuver ◽  
Hanging Maneuver

Liver hanging maneuver (technical variant)-step by step

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 807-807
Author(s):  
Francesco Fleres ◽  
Tullio Piardi ◽  
Daniele Sommacale
Keyword(s):  
Liver Hanging Maneuver ◽  
Hanging Maneuver

scholarly journals Efficacy of Transhepatic Anterior Approach to the Inferior Vena Cava for Malignant Pheochromocytoma Invading Right Posterior Lobe of the Liver: A Case Report

2019 ◽  
Vol 103 (1-2) ◽  
pp. 80-86
Author(s):  
Gen Tsujio ◽  
Kenjiro Kimura ◽  
Yukie Tauchi ◽  
Go Ohira ◽  
Ryosuke Amano ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Anterior Approach ◽  
Inferior Vena ◽  
Vena Cava ◽  
Right Hepatectomy ◽  
Liver Hanging Maneuver ◽  
Hanging Maneuver ◽  
Right Lobe ◽  
The Right

Introduction: The anterior approach to the inferior vena cava (IVC) by the liver hanging maneuver is effective in resecting large retrohepatic tumors without mobilizing the right lobe. Case presentation: A 50-year-old man was referred to our hospital with a diagnosis of pheochromocytoma. He had severe congestive heart failure and cardiac ejection fraction was 15%. Abdominal magnetic resonance imaging (MRI) and ultrasonography (US) showed an adrenal mass about 80 mm in diameter. The tumor-infiltrated posterior segment of the right hepatic lobe and tumor were widely attached to the IVC. After treatment of congestive heart failure with conservative therapy, surgery was planned. Right adrenectomy and right hepatectomy were performed, the latter using the liver hanging maneuver to avoid mobilizing the right lobe, and we were able to minimize blood pressure fluctuations and perform the operation safely. The histopathologic diagnosis was malignant pheochromocytoma. Conclusions: We performed right hepatectomy without mobilizing the right lobe by the liver hanging maneuver and minimized stimulation of the tumor. We could perform the operation safely using the liver hanging maneuver, which seems effective in such cases.

Anatomical Basis of Liver Hanging Maneuver: A Clinical and Anatomical in Vivo Study

2007 ◽  
Vol 73 (11) ◽  
pp. 1193-1196 ◽  
Author(s):  
Giuseppe Maria Ettorre ◽  
Richard Douard ◽  
Valerio Corazza ◽  
Roberto Santoro ◽  
Giovanni Vennarecci ◽  
...  
Keyword(s):  
Vena Cava ◽  
Small Diameter ◽  
Hepatic Veins ◽  
Minor Bleeding ◽  
Complication Rates ◽  
Liver Hanging Maneuver ◽  
Anatomical Basis ◽  
Hanging Maneuver ◽  
Large N ◽  
Small N

Liver Hanging Maneuver (LHM) provides better exposure of the deeper section plane together with Inferior Vena Cava (IVC) protection during right hepatectomies without primary liver mobilization. This study assessed the feasibility and complication rates of LHM focusing on the anatomical distribution of the accessory hepatic veins in the retrohepatic portion of the IVC. From January 2002 to December 2005, LHM was planned in 49 consecutive major hepatectomies. The IVC retrohepatic portion was studied during the anhepatic phase in 17 liver transplantations with IVC preservation. The diameter and location of the vein openings were recorded after IVC division into nine portions. LHM was achieved in 47/49 patients (96%). Bleeding occurred in only one patient (2%) and did not entail procedure interruption. The anatomical study revealed a total of 86 veins present in 17 cases (5.18 ± 4 per patient) and classified them according to diameter (<3, 3 to 6, and >6 mm), as small (n = 40), medium (n = 29), and large (n = 17), respectively. Nine openings were found in the avascular channel for 6/17 (35%) patients (small n = 6, medium n = 3, large n = 0). LHM is a highly feasible procedure with minor bleeding risks due to the lower density and small diameter of short hepatic veins and caudate veins present in the avascular channel.

Performing the ALPPS Procedure by Anterior Approach and Liver Hanging Maneuver

2016 ◽  
Vol 263 (1) ◽  
pp. e11 ◽  
Author(s):  
Giovanni Vennarecci ◽  
Giovanni Battista Levi Sandri ◽  
Giuseppe Maria Ettorre
Keyword(s):  
Anterior Approach ◽  
Liver Hanging Maneuver ◽  
Hanging Maneuver
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