title: Bloodless donor hepatectomy in living donor liver transplantation: counterclockwise liver rotation and early hanging maneuver.
abstract: BACKGROUND
  Living donor hepatectomy is important because it determines donor safety and recipient outcome.
  
  
  METHODS
  We applied the counter-clockwise liver rotation method and the hanging maneuver from an early stage in two major types of living donor operations.
  
  
  RESULTS
  Twenty-eight living donors underwent these procedures with significant reduction in blood loss. Right hepatectomy was performed in 14 of the donors and extended left hepatectomy was performed in the other 14 donors.
  
  
  CONCLUSIONS
  These techniques facilitate safe and bloodless living donor hepatectomy.
authors.affiliation: Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata, Okayama 700-8558, Japan. sada@md.okayama-u.ac.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sadamori
authors.forename: Takahito
authors.initials: T
authors.lastname: Yagi
authors.forename: Susumu
authors.initials: S
authors.lastname: Shinoura
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Umeda
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Yoshida
authors.forename: Daisuke
authors.initials: D
authors.lastname: Satoh
authors.forename: Daisuke
authors.initials: D
authors.lastname: Nobuoka
authors.forename: Masashi
authors.initials: M
authors.lastname: Utsumi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yoshida
authors.forename: Toshiyoshi
authors.initials: T
authors.lastname: Fujiwara
mesh_terms: D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D001803:Blood Transfusion / Q000706:statistics & numerical data; D057668:Bloodless Medical and Surgical Procedures / Q000191:economics / Q000379:methods*; D003362:Cost-Benefit Analysis; D006498:Hepatectomy / Q000191:economics / Q000379:methods*; D017721:Hospital Costs / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data; D016031:Liver Transplantation; D019520:Living Donors; D020858:Tissue and Organ Harvesting / Q000191:economics / Q000379:methods*