title: Extended right hepatectomy with caudate lobe resection using the hilar "en bloc" resection technique with a modified hanging maneuver.
abstract: The hanging liver maneuver is a useful technique to guide the transection of liver parenchyma by lifting a tape passed between the anterior surface of the inferior vena cava and the liver. Modified hanging liver maneuvers have been described in different types of liver resection. Surgical resection of hilar cholangiocarcinoma can involve the portal vein and the caudate lobe for margin clearance. However, hilar dissection and resection of the caudate lobe can be a challenging during the hanging maneuver once the tape is positioned. Herein, we describe a modified hanging liver maneuver for a hilar "en bloc" extended right hepatectomy with portal vein resection for the treatment of hilar cholangiocarcinoma including the caudate lobe. J. Surg. Oncol. 2016;113:427-431. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Division of Digestive Surgery, Department of Gastroenterology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.|Department of Surgery, Austin Hospital, University of Melbourne, Melbourne, Victoria, Australia.
authors.forename: Marcos V
authors.initials: MV
authors.lastname: Perini
authors.affiliation: Division of Digestive Surgery, Department of Gastroenterology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
authors.forename: Fabricio F
authors.initials: FF
authors.lastname: Coelho
authors.affiliation: Division of Digestive Surgery, Department of Gastroenterology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
authors.forename: Jaime A
authors.initials: JA
authors.lastname: Kruger
authors.affiliation: Department of Surgery, Section of General, Thoracic and Vascular Surgery, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, Washington.
authors.forename: Flavio G
authors.initials: FG
authors.lastname: Rocha
authors.affiliation: Division of Digestive Surgery, Department of Gastroenterology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
authors.forename: Paulo
authors.initials: P
authors.lastname: Herman
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged
keywords: cholangiocarcinoma; hepatectomy; surgery; technique; vascular resection