title: Living donor right hepatectomy using the hanging maneuver by Glisson's approach under the upper midline incision.
abstract: BACKGROUND
  The purpose of this study was to introduce an advanced technique for the best living donor right hepatectomy (LDRH) using the hanging maneuver by Glisson's approach under an upper midline incision.
  
  
  METHODS
  From January 2005 to February 2010, a total of 196 consecutive LDRHs have been performed at the National Cancer Center, Korea. To assess the overall outcomes of LDRH done with two significant technical developments--the upper midline incision and the initial Glisson's approach--we performed a comparative analysis involving all consecutive living donors, who we divided into three groups based on the two technical modifications over 5 years.
  
  
  RESULTS
  Compared with the previous two groups, the third group of 32 consecutive living donors, from September 2009 to February 2010, demonstrated shorter operative time, shorter duration of hospital stay, and lower complication rate with no operative mortality, major morbidity, blood transfusion, or reoperation. All donors were fully recovered and returned to their previous activities.
  
  
  CONCLUSIONS
  This LDRH using the hanging maneuver by Glisson's approach can be completed safely and effectively with good outcomes through an upper midline incision above the umbilicus, which may be a new milestone toward the best LDRH that donor surgeons can pursue.
authors: Center for Liver Cancer, National Cancer Center, 111 Jungbalsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do, 410-769, Republic of Korea. kshlj@hanmail.net
authors: Seong Hoon
authors: SH
authors: Kim
authors: Young Kyu
authors: YK
authors: Kim
mesh_terms: D000293:Adolescent; D000328:Adult; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000453:epidemiology; D055815:Young Adult