Totally Minimally Invasive Extended Right Hepatectomy Using the Intracorporal Liver Hanging Maneuver

Videoscopy ◽  
2019 ◽  
Vol 29 (4) ◽  
Author(s):  
Robert Sucher ◽  
Hans Michael Hau ◽  
Sebastian Rademacher ◽  
Andri Lederer ◽  
Tim Ole Petersen ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Right Hepatectomy ◽  
Liver Hanging Maneuver ◽  
Hanging Maneuver ◽  
Extended Right Hepatectomy

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

2016 ◽  
Vol 8 (3) ◽  
pp. 411-413
Author(s):  
C. Ramachandra ◽  
Sharma Vikas ◽  
S. Krishnamurthy ◽  
S. Ramesh ◽  
L. Appaji ◽  
...  
Keyword(s):  
Right Hepatectomy ◽  
Liver Hanging Maneuver ◽  
Hanging Maneuver ◽  
Extended Right Hepatectomy

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.

Hanging Maneuver in Right Hepatectomy for Recurrent Metastases with Diaphragmatic Infiltration after Radiofrequency Ablation: A New Indication

2007 ◽  
Vol 73 (9) ◽  
pp. 884-887
Author(s):  
Gennaro Nuzzo ◽  
Felice Giuliante ◽  
Francesco Ardito ◽  
Maria Vellone ◽  
Ivo Giovannini
Keyword(s):  
Radiofrequency Ablation ◽  
Local Recurrence ◽  
Liver Metastases ◽  
Anterior Approach ◽  
Previous Treatment ◽  
Liver Parenchyma ◽  
Right Hepatectomy ◽  
Liver Hanging Maneuver ◽  
Hanging Maneuver ◽  
The Right

The liver hanging maneuver is a safe technique to prevent bleeding during transection when a right hepatectomy by an anterior approach, without previous mobilization of the liver, is required. This article proposes a new indication for this technique. The liver hanging maneuver may be useful during right hepatectomy for local recurrence of liver metastases previously treated by radiofrequency ablation (RFA). In these cases, necrosis or fibrosis induced by RFA and local recurrence may cause strong adhesions between liver parenchyma and the diaphragm, thus increasing the risk of bleeding during liver mobilization. Between January 2003 and March 2006, seven patients with recurrent colorectal liver metastases of the right hemiliver, after previous treatment by RFA, underwent right hepatectomy. Liver resection was feasible with the proposed technique in all patients. In four cases, a limited diaphragmatic resection was associated. There was no mortality. Postoperative morbidity was 42.8 per cent. An anterior approach with the liver hanging maneuver for recurrent liver metastases after RFA should be recommended when the metastases are located posteriorly, are not detachable from the diaphragm, and the preliminary mobilization of the right liver may be difficult.

scholarly journals Laparoscopic liver-hanging maneuver for right hepatectomy – with video

2017 ◽  
Vol 154 (4) ◽  
pp. 295-296
Author(s):  
F. Abbassi ◽  
R.M. Villiger ◽  
P. Villiger
Keyword(s):  
Right Hepatectomy ◽  
Liver Hanging Maneuver ◽  
Hanging Maneuver
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