Suh Kyung-Suk, Lee Hyuk-Joon, Kim Seong Hoon, Kim Sang Beom, Lee Kuhn Uk
Department of Surgery, Seoul National University College of Medicine, Seoul, and Clinical Research Institute, Seoul National University Hospital, Korea.
Hepatogastroenterology. 2004 Sep-Oct;51(59):1464-6.
The liver hanging maneuver in right hepatectomy introduced by Belghiti in 2001, is a safe and effective method for right hepatectomy in cases of large hepatoma and living donor liver transplantation. In this article, we first introduce the hanging maneuver in extended left hepatectomy (left hepatectomy including middle hepatic vein). Extended left hepatectomy is a more difficult procedure than right hepatectomy because in the deeper part of the transection, the plane sharply turns to the left above the caudate lobe. Using the hanging maneuver, the horizontal transection plane becomes vertical, and the extended left hepatectomy can be performed easier and safer. This technique can be applied effectively in all kinds of left-sided hepatectomies.
2001年由贝尔吉蒂提出的右肝切除术中的肝脏悬吊法，是一种用于大肝癌及活体肝移植病例右肝切除的安全有效方法。在本文中，我们首先介绍扩大左肝切除术（包括肝中静脉的左肝切除术）中的悬吊法。扩大左肝切除术比右肝切除术难度更大，因为在横断的深部，平面在尾状叶上方急剧转向左侧。使用悬吊法，水平横断平面变为垂直，扩大左肝切除术可更轻松、安全地进行。该技术可有效应用于各种左侧肝切除术。
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