[The modified "hanging maneuver" during orthotopic liver transplantation using a technique for conserving the inferior vena cava].
We describe a modification of Belghiti's "liver hanging maneuver" applied to the last phase of hepatectomy during OLT with IVC preservation. The proposed maneuver provides a better exposition of the suprahepatic veins allowing an ortogonal clamping of the suprahepatic confluence and avoiding caval clamping. It allows, moreover, an increase of venous surface available for the anastomosis that results wider and easier to perform. This provides a large outflow anastomotic cloaca and prevents outflow problems of the graft.
Ettorre
G M
GM
Divisione di Chirurgia Digestiva e Trapianti, Istituto Regina Elena, Roma.
Vennarecci
G
G
Lonardo
M T
MT
Boschetto
A
A
Antonini
M
M
Carboni
F
F
Carlini
M
M
Santoro
E
E
D000714:Anastomosis, Surgical; D001201:Ascites / Q000453:epidemiology / Q000517:prevention & control; D006085:Graft Survival; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D006932:Hyperbilirubinemia / Q000453:epidemiology / Q000517:prevention & control; D008099:Liver / Q000098:blood supply; D016031:Liver Transplantation / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D012189:Retrospective Studies; D014682:Vena Cava, Inferior