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

Journal of Hepato-biliary-pancreatic Surgery
G M EttorreE Santoro

Abstract

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

Citations

Nov 8, 2008·Surgical and Radiologic Anatomy : SRA·Sebastien GaujouxRichard Douard
Dec 8, 2011·Surgical and Radiologic Anatomy : SRA·Sanjib Kumar Ghosh, Shipra Paul
Feb 3, 2009·Journal of Hepato-biliary-pancreatic Surgery·Masanori SugiyamaYutaka Atomi
Nov 29, 2008·Surgery Today·Mitsuhisa TakatsukiTakashi Kanematsu
Nov 28, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shin HwangNam-Kyu Choi
Apr 13, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Junichi ShindohNorihiro Kokudo
May 10, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Lorenzo CapussottiLuca Viganò
Oct 26, 2005·Annals of Surgery·Norihiro KokudoMasatoshi Makuuchi
Jan 2, 2007·Annals of Surgery·Satoshi OgataAlain Sauvanet
Aug 21, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Veronica MacchiRaffaele De Caro
Aug 5, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A NanashimaT Nagayasu
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Unal AydinAhmet Coker
Sep 23, 2011·Journal of Hepato-biliary-pancreatic Sciences·Tohru Utsunomiya, Mitsuo Shimada
Mar 21, 2007·American Journal of Surgery·Sébastien GaujouxPaul-Henri Cugnenc
Mar 9, 2017·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·Andras BudaiAttila Szijarto
Nov 6, 2014·Annals of Surgery·Giovanni VennarecciGiuseppe Maria Ettorre
Apr 4, 2017·Surgery Today·Rami RhaiemDaniele Sommacale
Nov 7, 2015·Surgical Endoscopy·Ji Hoon KimJae-Woon Choi
Sep 1, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Guido LiddoJacques Belghiti

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Hepatocellular

Hepatocellular Carcinoma is a malignant cancer in liver epithelial cells. Discover the latest research on Hepatocellular Carcinoma here.