Double liver hanging manoeuvre for central hepatectomy.
We describe a modification of Belghiti's liver hanging manoeuvre (LHM) using two small tubes placed in the cut planes, the first between the left lateral and medial sections, and the second along the right hepatic vein, to achieve complete anatomic central hepatectomy for a large tumour compressing surrounding vessels. Using this technique, a large central hepatocellular carcinoma compressing hilar vessels and the right hepatic vein was easily and safely resected in a 57-year-old man.
Nanashima
Atsushi
A
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. a-nanasm@nagasaki-u.ac.jp
Tobinaga
Syuuichi
S
Araki
Masato
M
Nonaka
Takashi
T
Abo
Takafumi
T
Hidaka
Shigekazu
S
Takeshita
Hiroaki
H
Sawai
Terumitsu
T
Nagayasu
Takeshi
T