Skip to main content
Log in

Inferior Right Hepatic Vein-Preserving Hepatectomy for Large Liver Tumors: Anterior Approach Using the Two-Stage Modified Hanging Maneuver (with Video)

  • How I do it
  • Published:
Journal of Gastrointestinal Surgery

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

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

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

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3



Right hemi-hepatectomy


Hepatocellular carcinoma


Inferior right hepatic vein


Right hepatic vein


Inferior vena cava


Liver hanging maneuver


Trisegmentectomy 5, 7, and 8


Segment 6


Glissonean pedicle of S7


  1. Takahashi M, Hasegawa K, Aoki T, Seyama Y, Makuuchi M, Kokudo N. Reappraisal of the inferior right hepatic vein preserving liver resection. Dig Surg 2014;31:377–83.

    Article  Google Scholar 

  2. Makuuchi M, Hasegawa H, Yamazaki S, Takayasu K. Four new hepatectomy procedures for resection of the right hepatic vein and preservation of the inferior right hepatic vein. Surg Gynecol Obstet 1987;164:68–72.

    CAS  PubMed  Google Scholar 

  3. Nakayama H, Takayama T, Higaki T, Okubo T, Moriguchi M, Yoshida N et al. Verification of inferior right hepatic vein-conserving segments 7 to 8 resection of the liver. Int Surg 2015;100:683–8.

    Article  Google Scholar 

  4. Belghiti J, Guevara OA, Noun R, Saldinger PF, Kianmanesh R. Liver hanging maneuver: a safe approach to right hepatectomy without liver mobilization. J Am Coll Surg 2001;193:109–11.

    Article  CAS  Google Scholar 

  5. Utsunomiya T, Shimada M. Modified hanging method for liver resection. J Hepatobiliary Pancreat Sci 2012;19:19–24.

    Article  Google Scholar 

Download references


We thank Mr. Shinya Fukamachi for medical illustrations.

Author information

Authors and Affiliations



K. Sugimachi, T. Iguchi, and Y. Mano contributed to the conception of the work and drafting the manuscript. T. Nakanoko contributed to the editing of the multimedia material and critical revision of the manuscript.

Corresponding author

Correspondence to Keishi Sugimachi.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic Supplementary Material

(MP4 135,158 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sugimachi, K., Iguchi, T., Nakanoko, T. et al. Inferior Right Hepatic Vein-Preserving Hepatectomy for Large Liver Tumors: Anterior Approach Using the Two-Stage Modified Hanging Maneuver (with Video). J Gastrointest Surg 24, 1444–1447 (2020).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: