Skip to main content
SpringerLink
Log in

Feasibility of hanging maneuvers in orthotopic liver transplantation with inferior vena cava preservation and in liver surgery

  • Basic knowledge of interest
  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

Background/Purpose

The aim of this work was to study the feasibility and complication rates of liver hanging maneuvers: the Belghiti liver hanging maneuver (BLHM) in liver resection and the modified liver hanging maneuver (MLHM) in orthotopic liver transplantation (OLT) with inferior vena cava (IVC) preservation.

Methods

From January 2001 to August 2003, BLHM was planned in 26 consecutive right hepatectomies and MLHM in 28 consecutive OLTs with IVC preservation.

Results

BLHM was performed in 24/26 patients (92%). In the 2 remaining patients, chronic biliary infection (n = 1) and intraparenchymal hemorrhagic hepatocellular carcinoma (n = 1) did not allow BLHM to be achieved. Bleeding during the BLHM procedure occurred in 1 patient (4%), with no need for interruption. MLHM was performed in all 28 patients, and in none of them was bleeding observed during the maneuver.

Conclusions

BLHM and MLHM are important technical refinements with several advantages. Feasibility rates were 92% and 100%, respectively. Bleeding risk remained low (4%) for BLHM and was 0% for MLHM. The rate of BLHM failure suggests that the feasibility rate may be higher in normal liver parenchyma.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Author information

Authors and Affiliations

  1. Department of Digestive Surgery and Liver Transplantation, Regina Elena Cancer Institute, Via E. Chianesi 53, 00144, Rome, Italy

    Giuseppe Maria Ettorre, Giovanni Vennarecci, Arianna Boschetto & Eugenio Santoro

  2. Institut d’Anatomie de Paris, Faculty of Medicine Necker-Enfants-Malades, Paris V University, Paris, France

    Richard Douard

Authors
  1. Giuseppe Maria Ettorre
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Giovanni Vennarecci
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Arianna Boschetto
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Richard Douard
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Eugenio Santoro
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Ettorre, G., Vennarecci, G., Boschetto, A. et al. Feasibility of hanging maneuvers in orthotopic liver transplantation with inferior vena cava preservation and in liver surgery. J Hepatobiliary Pancreat Surg 11, 155–158 (2004). https://doi.org/10.1007/s00534-004-0903-x

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00534-004-0903-x

Key words

Search

Navigation