title: Major liver resection by a hanging maneuver for an infant with hepatoblastoma.
abstract: BACKGROUND
  The liver hanging maneuver (LHM) was reported to be a safe and accurate method for hepatectomy, and its use in adults has been increasing in recent years. Because fragility of a blood vessel and the tissue is concerned about in the children as compared with adults, the adaptation to children is subobsolete.
  
  
  METHODS
  We describe a case involving an extended right hepatic lobectomy using the LHM in a 5-month-old infant. We received LHM using foceps of the size identical to adults. There were no postoperative complications.
  
  
  CONCLUSIONS
  Anterior approach is suitable for the hepatoblastomas to form a bulky tumor. LHM is a useful and safe technique for hepatectomy in pediatric surgery.
authors.affiliation: Department of Surgery Iwate Medical University School of Medicine, Morioka, Japan.
authors.forename: Megumi
authors.initials: M
authors.lastname: Kobayashi
authors.forename: Masaru
authors.initials: M
authors.lastname: Mizuno
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Hasegawa
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nitta
authors.forename: Go
authors.initials: G
authors.lastname: Wakabayashi
keywords: hepatectomy; hepatoblastoma; liver hanging maneuver