Inferior Right Hepatic Vein-Preserving Hepatectomy for Large Liver Tumors: Anterior Approach Using the Two-Stage Modified Hanging Maneuver (with Video)

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Abbreviations

RH:

Right hemi-hepatectomy

HCC:

Hepatocellular carcinoma

IRHV:

Inferior right hepatic vein

RHV:

Right hepatic vein

IVC:

Inferior vena cava

LHM:

Liver hanging maneuver

triseg-5,7,8:

Trisegmentectomy 5, 7, and 8

S6:

Segment 6

G7:

Glissonean pedicle of S7

References

  1. 1.

    Takahashi M, Hasegawa K, Aoki T, Seyama Y, Makuuchi M, Kokudo N. Reappraisal of the inferior right hepatic vein preserving liver resection. Dig Surg 2014;31:377–83.

    Article  Google Scholar 

  2. 2.

    Makuuchi M, Hasegawa H, Yamazaki S, Takayasu K. Four new hepatectomy procedures for resection of the right hepatic vein and preservation of the inferior right hepatic vein. Surg Gynecol Obstet 1987;164:68–72.

    CAS  PubMed  Google Scholar 

  3. 3.

    Nakayama H, Takayama T, Higaki T, Okubo T, Moriguchi M, Yoshida N et al. Verification of inferior right hepatic vein-conserving segments 7 to 8 resection of the liver. Int Surg 2015;100:683–8.

    Article  Google Scholar 

  4. 4.

    Belghiti J, Guevara OA, Noun R, Saldinger PF, Kianmanesh R. Liver hanging maneuver: a safe approach to right hepatectomy without liver mobilization. J Am Coll Surg 2001;193:109–11.

    CAS  Article  Google Scholar 

  5. 5.

    Utsunomiya T, Shimada M. Modified hanging method for liver resection. J Hepatobiliary Pancreat Sci 2012;19:19–24.

    Article  Google Scholar 

Download references

Acknowledgments

We thank Mr. Shinya Fukamachi for medical illustrations.

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K. Sugimachi, T. Iguchi, and Y. Mano contributed to the conception of the work and drafting the manuscript. T. Nakanoko contributed to the editing of the multimedia material and critical revision of the manuscript.

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Correspondence to Keishi Sugimachi.

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Sugimachi, K., Iguchi, T., Nakanoko, T. et al. Inferior Right Hepatic Vein-Preserving Hepatectomy for Large Liver Tumors: Anterior Approach Using the Two-Stage Modified Hanging Maneuver (with Video). J Gastrointest Surg 24, 1444–1447 (2020). https://doi.org/10.1007/s11605-020-04602-w

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