Skip to main content
Log in

Extended Right Hepatectomy by Liver Hanging Maneuver in an Infant with Hepatoblastoma

Indian Journal of Surgical Oncology Aims and scope Submit manuscript

Abstract

Liver hanging maneuver (LHM) is now a safe, accurate, and well established technique for various kinds of hepatic resections. But because of technical difficulty and limited experience, there have been very few reports of hepatic resection using LHM in children as compared to adults. We hereby report a case of extended right hepatectomy with part of caudate lobectomy using LHM in an 8-month-old infant for a large hepatoblastoma in Kidwai Memorial Institute of Oncology, a regional cancer center in south India. LHM facilitates major hepatectomy with “anterior approach,” reducing several risks caused by liver mobilization: bleeding, rupture of the tumor, tumor cell dissemination, hemodynamic instability, and post op liver failure. This technique is very useful and safe for bulky pediatric hepatic tumors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2.

Similar content being viewed by others

References

  1. Lortat-Jacob JL, Robert HG (1952) Well defined technique for right hepatectomy. Presse Med 60:549–551

    CAS  PubMed  Google Scholar 

  2. Ozawa K (1990) Hepatic function and liver resection. J Gastroenterology Hepatology 5:296–309

    Article  CAS  Google Scholar 

  3. Lai EC, Fan ST, Lo CM et al (1996) Anterior approach for difficult major right hepatectomy. World J Surg 20:314–317

    Article  CAS  PubMed  Google Scholar 

  4. Belghiti J, Guevara OA, Noun R et al (2001) Liver hanging maneuver: a safe approach to right hepatectomy without liver mobilization. J Am Coll Surg 193:109–111

    Article  CAS  PubMed  Google Scholar 

  5. Kokudo N, Sugawara Y, Imamura H, Sano K, Makuuchi M (2003) Sling suspension of the liver in donor operation: a gradual tape-repositioning technique. Transplantation 76:803–807

    Article  PubMed  Google Scholar 

  6. Ettorre GM, Douard R, Corazza V, Santoro R, Vennarecci G, Santoro E (2007) Anatomical basis of liver hanging manoeuvre: a clinical and anatomical in vivo study. Am Surg 73:1193–1196

    PubMed  Google Scholar 

  7. Suzuki M, Unno M, Katayose Y, Takeuchi H, Rikiyama T, Onogawa T et al (2004) Hepatic resection through an anterior approach employing a modified liver hanging manoeuvre in patients with a massive liver tumour severely oppressing the inferior vena cava. Hepato-Gastroenterology 51:1459–1463

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C. Ramachandra.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ramachandra, C., Vikas, S., Krishnamurthy, S. et al. Extended Right Hepatectomy by Liver Hanging Maneuver in an Infant with Hepatoblastoma. Indian J Surg Oncol 8, 411–413 (2017). https://doi.org/10.1007/s13193-016-0555-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13193-016-0555-8

Keywords

Navigation