Right Hepatectomy Using Combination of Three Hepatic Portal Dissection and Liver Hanging Maneuver: A Case Report

Chiwen Liu¹, Chenglin Wang², Weibo Chen¹ and Yong Jiang^1,

¹Department of Hepatopancreatobiliary Surgery, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China

²Department of Pediatric Surgery, The Maternal and Child Health Hospital, Weifang, Shandong, China

Cite this paper

Chiwen Liu, Chenglin Wang, Weibo Chen and Yong Jiang. Right Hepatectomy Using Combination of Three Hepatic Portal Dissection and Liver Hanging Maneuver: A Case Report. American Journal of Medical Case Reports. 2017; 5(10):264-266. doi: 10.12691/AJMCR-5-10-4

Abstract

In traditional right hepatectomy, complete mobilization of the liver is usually conducted before parenchymal transection which may cause unfavourable complications like mass bleeding. So, people put forward the “anterior approach” and the “liver hanging maneuver”. We report a 60-year-old female was admitted to our hospital with the complaint of one-week of implicit inflation and discomfort of the right upper abdomen. In this case, combination of three hepatic portal dissection and liver hanging maneuver were successful used to resect the right liver with giant hemangioma.

Keywords

right hepatectomy, three hepatic portal dissection, liver hanging maneuver

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Wang CC, Jawade K, Yap AQ, Concejero AM, Lin CY and Chen CL. Resection of large hepatocellular carcinoma using the combination of liver hanging maneuver and anterior approach. World J Surg 2010; 34: 1874-8.
[2]	Oldhafer KJ, Donati M, Lipp M, Keller B, Ojdanic D and Stavrou GA. [anterior approach liver resection with the liver hanging maneuver. Technique and indications]. Chirurg 2012; 83: 65-70.
[3]	Lai EC, Fan ST, Lo CM, Chu KM and Liu CL. Anterior approach for difficult major right hepatectomy. World J Surg 1996; 20: 314-7; discussion 318.
[4]	Nanashima A, Abo T, Takagi K, Arai J, To K, Kunizaki M, Hidaka S, Takeshita H, Sawai T and Nagayasu T. Prognostic influence of the liver hanging maneuver for patients with hepatobiliary malignancies who underwent hepatic resections. Eur J Surg Oncol 2014; 40: 1540-9.
[5]	Belghiti J, Guevara OA, Noun R, Saldinger PF and Kianmanesh R. Liver hanging maneuver: A safe approach to right hepatectomy without liver mobilization. J Am Coll Surg 2001; 193: 109-11.
[6]	Kim JH, Ryu DH, Jang LC and Choi JW. Lateral approach liver hanging maneuver in laparoscopic anatomical liver resections. Surg Endosc 2016; 30: 3611-7.
[7]	Surjan RC, Makdissi FF, Basseres T and Machado MA. Enucleation of liver tumors: You do not have to feel blue about it. J Surg Case Rep 2015; 2015:
[8]	Earl TM and Chapman WC. Conventional surgical treatment of hepatocellular carcinoma. Clin Liver Dis 2011; 15: 353-70, vii-x.
[9]	Kobayashi M, Mizuno M, Hasegawa Y, Nitta H and Wakabayashi G. Major liver resection by a hanging maneuver for an infant with hepatoblastoma. Am J Case Rep 2012; 13: 140-2.
[10]	Li L, Wang HQ, Wang Q, Yang J and Yang JY. Anterior vs conventional approach hepatectomy for large liver cancer: A meta-analysis. World J Gastroenterol 2014; 20: 17235-43.
[11]	Agrawal S and Belghiti J. Oncologic resection for malignant tumors of the liver. Ann Surg 2011; 253: 656-65.
[12]	Pai M, Frampton AE, Mikhail S, Resende V, Kornasiewicz O, Spalding DR, Jiao LR and Habib NA. Radiofrequency assisted liver resection: Analysis of 604 consecutive cases. Eur J Surg Oncol 2012; 38: 274-80.
[13]	Beppu T, Imai K, Okuda K, Eguchi S, Kitahara K, Taniai N, Ueno S, Shirabe K, Ohta M, Kondo K, Nanashima A, Noritomi T, Shiraishi M, Takami Y, Okamoto K, Kikuchi K, Baba H and Fujioka H. Anterior approach for right hepatectomy with hanging maneuver for hepatocellular carcinoma: A multi-institutional propensity score-matching study. J Hepatobiliary Pancreat Sci 2017; 24: 127-136.
[14]	Chen HW, Lai EC, Wang FJ, Li JY, Deng FW, Hu JY and Lau WY. Anterior approach for right hepatectomy using the 5-steps stapling technique: A preliminary study. Int J Surg 2016; 32: 19-23.
[15]	Nanashima A and Nagayasu T. Development and clinical usefulness of the liver hanging maneuver in various anatomical hepatectomy procedures. Surg Today 2016; 46: 398-404.
[16]	Hirai I, Murakami G, Kimura W, Kanamura T and Sato I. How should we treat short hepatic veins and paracaval branches in anterior hepatectomy using the hanging maneuver without mobilization of the liver? An anatomical and experimental study. Clin Anat 2003; 16: 224-32.