Application of double liver hanging maneuver in anatomical right Hemihepatectomy
10.3760/cma.j.issn.1007-8118.2010.12.007
- VernacularTitle:双绕肝提拉在规则性右半肝切除中的应用
- Author:
Xiangdong CHENG
;
Yian DU
;
Zhiyuan XU
;
Ling HUANG
;
Bing WANG
;
Litao YANG
- Publication Type:Journal Article
- Keywords:
Liver neoplasm;
Anatomica hemihepatectomy;
Double liver hanging maneuver;
Retrohepatic tunnel
- From:
Chinese Journal of Hepatobiliary Surgery
2010;16(12):915-917
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce the application of double liver hanging maneuver in anatomical right hemihepatectomy and share our own experience. Methods Twenty-four patients underwent right hemihepatectomy using double liver hanging maneuver, and the data were collected prospectively after operation. Another 49 patients underwent right hemihepatectomy using the traditional methods,serving as the control group. Results Retrohepatic tunnel was constructed in 27 patients, double liver hanging maneuver was successfully performed in 24 anatomical right hemihepatomy and failed in 3 patients due to the near proximity between the tumor and the middle line. Compared with the control group, blood loss was much less (t=3. 191 ,P＜0.05), ALT and liver function recovered more quickly postoperatively and the difference in operative duration between the 2 groups was not significant (t=-1. 695,P＞0. 05). There was about 1-2 cm wide space located between retrohepatic IVC and dorsal liver when the 2 tapes were tracted, and no injury in hepatic short veins and retrohepatic IVC occurred during the operation. Conclusion The double liver hanging maneuver can make anatomical right hemihepatectomy more accessible and safe.
