title: Development and clinical usefulness of the liver hanging maneuver in various anatomical hepatectomy procedures.
abstract: OBJECTIVE
  To assess the clinical application and usefulness of the liver hanging maneuver (LHM), proposed by Belghiti, for major hepatectomy, including its (1) historical development, (2) usefulness and application and (3) advantages and disadvantages, by reviewing the English literature published during the period 2001-2014.
  
  
  RESULTS
  In major hepatic transection via the anterior approach, the deep area of transection around the vena cava is critical with regard to bleeding during right hemi-hepatectomy. Belghiti and other investigators identified avascular spaces that are devoid of short hepatic veins at the front of the vena cava and behind the liver. Forceps can be inserted into this space easily and then maneuvered to lift the liver using hanging tape. This procedure, termed LHM significantly reduces intraoperative blood loss and the transection time during right hemi-hepatectomy. LHM has been used in various anatomical hepatectomy procedures worldwide, including laparoscopic hepatectomy. The use of LHM markedly improves the amount of intraoperative blood loss, operative time and postoperative outcome.
  
  
  CONCLUSIONS
  We conclude that the application of LHM is an important development in the field of liver surgery, although a further evaluation of its true impact on clinical outcomes is necessary.
authors: Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 8528501, Japan. a-nanasm@nagasaki-u.ac.jp.
authors: Atsushi
authors: A
authors: Nanashima
authors: Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 8528501, Japan.
authors: Takeshi
authors: T
authors: Nagayasu
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D006498:Hepatectomy / Q000379:methods* / Q000639:trends; D061646:Operative Time; D016896:Treatment Outcome
keywords: Hepatectomy; Hepatobiliary malignancies; Liver hanging maneuver; Major anatomic resection; Surgical records