Kim Ji Hoon, Choi Jae-Woon
Department of Surgery, Eulji University School of Medicine, Daejeon, Republic of Korea.
Department of Surgery, College of Medicine and Medical Research Institute, Chungbuk National University, Cheong-ju, Republic of Korea.
J Gastrointest Surg. 2017 Jul;21(7):1181-1185. doi: 10.1007/s11605-017-3369-2. Epub 2017 Feb 2.
The liver hanging maneuver is a novel and useful technique that is widely used in open liver resections. The present study describes the surgical technique and outcomes of a modified liver hanging maneuver for pure laparoscopic left hemihepatectomy.
The clinical data of patients who underwent laparoscopic left hemihepatectomy using a modified hanging technique were retrospectively reviewed. The upper end of the hanging tape was placed on the lateral side of the left hepatic vein. The pathway of the tape was situated along the ligamentum venosum.
Sixteen patients underwent pure laparoscopic left hemihepatectomy with the modified hanging technique. The median operation time was 225 min (range 180-300 min), with a median blood loss of 265 ml (range 140-600 ml). Postoperative major complications occurred in one patient (6.3%). The median postoperative hospital stay was 8 days (range 5-15 days). There was no postoperative liver failure or mortality.
This modified liver hanging maneuver is a simple, safe, and reproducible approach as dissection of between the middle and left hepatic vein is not required. This technique may be useful in laparoscopic left hemihepatectomy.
肝脏悬吊术是一种新颖且实用的技术，广泛应用于开放性肝切除术。本研究描述了改良肝脏悬吊术用于单纯腹腔镜左半肝切除术的手术技术及结果。
回顾性分析采用改良悬吊技术行腹腔镜左半肝切除术患者的临床资料。悬吊带的上端置于左肝静脉外侧。悬吊带的走行沿静脉韧带。
16例患者采用改良悬吊技术行单纯腹腔镜左半肝切除术。中位手术时间为225分钟（范围180 - 300分钟），中位失血量为265毫升（范围140 - 600毫升）。1例患者（6.3%）发生术后严重并发症。术后中位住院时间为8天（范围5 - 15天）。无术后肝衰竭或死亡病例。
这种改良肝脏悬吊术是一种简单、安全且可重复的方法，因为无需在肝中静脉和左肝静脉之间进行分离。该技术可能对腹腔镜左半肝切除术有用。
