title: [The role and significance of retrohepatic tunnel and the liver hanging tape passed through the tunnel in difficult hepatectomies].
abstract: OBJECTIVE
  To explore the role and significance of liver hanging tape passed through the retrohepatic tunnel developed by dissecting the tissue plane between anterior surface of the inferior vena cava (IVC) and caudate lobe, in order to be substitute for control of in- and out-flow blood vessels in difficult hepatectomies.
  
  
  METHODS
  Retrohepatic tunnel was developed by dissecting the anterior surface of the retrohepatic portion of the IVC, 7 difficult hepatectomies were performed with the use of liver hanging tape and hemostatic plate.
  
  
  RESULTS
  Liver hanging tape was placed successfully in 7 cases. VIII segmentectomy, right hemihepatectomy, left hemihepatectomy and right trilobectomy plus complete caudate lobectomy were performed, there was no complication related to this maneuver.
  
  
  CONCLUSIONS
  It is feasible for placing liver hanging tape through the retrohepatic tunnel. In addition, it has extensive indications and minimal influence on hemodynamic response. It is a better way for the difficult hepatectomy and for harvesting the liver graft in living related liver transplantation.
authors.affiliation: Department of General Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hang Zhou 310009, China.
authors.forename: Shu-you
authors.initials: SY
authors.lastname: Peng
authors.forename: Li-ping
authors.initials: LP
authors.lastname: Cao
authors.forename: Jiang-tao
authors.initials: JT
authors.lastname: Li
authors.forename: Xin-bao
authors.initials: XB
authors.lastname: Wang
authors.forename: Ying-bin
authors.initials: YB
authors.lastname: Liu
authors.forename: Yu-lian
authors.initials: YL
authors.lastname: Wu
authors.forename: He-qing
authors.initials: HQ
authors.lastname: Fang
authors.forename: Jian-wei
authors.initials: JW
authors.lastname: Wang
authors.forename: Bin
authors.initials: B
authors.lastname: Xu
authors.forename: Jun
authors.initials: J
authors.lastname: Du
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged