著者
Beppu Toru Ishiko Takatoshi Chikamoto Akira Komori Hiroyuki Masuda Toshiro Hayashi Hiromitsu Okabe Hirohisa Otao Ryu Sugiyama Shinichi Nasu Jiro Horino Kei Takamori Hiroshi Baba Hideo ベップ トオル イシコ タカトシ チカモト アキラ コモリ ヒロユキ マスダ トシロウ ハヤシ ヒロミツ オカベ ヒロヒサ オオタオ リュウ スギヤマ シンイチ ナス ジロウ ホリノ ケイ タカモリ ヒロシ ババ ヒデオ 別府 透 石河 隆敏 近本 亮 小森 宏之 増田 稔郎 林 洋光 岡部 弘尚 太田尾 龍 杉山 眞一 那須 二郎 堀野 敬 高森 啓史 馬場 秀夫
出版者
H.G.E. Update Medical Publishing Ltd.
雑誌
Hepato-Gastroenterology (ISSN:01726390)
巻号頁・発行日
vol.59, no.114, pp.542-545, 2012-03

Background/Aims: To clarify the clinical benefits of the maneuver in right-side hepatectomy. Methodology: Eighty-one patients with liver tumor (54 hepatocellular carcinoma, 17 metastatic liver tumor and 10 other tumors) treated with a right-side hepatectomy were prospectively analyzed. The patients were divided into the following three groups: a conventional approach (group A, n=21); liver dissection under the hanging maneuver after liver mobilization (group B, n=19) and liver dissection under the hanging maneuver prior to liver mobilization (group C, n=41). Results: The liver hanging maneuver was safely performed in all the patients in groups B and C. Tumor size had a significantly positive correlation with the amount of intraoperative blood loss (R=0.52, p<0.05) in group A only. The patients in groups B and C had a significantly lower intraoperative use of blood loss (both p<0.01), operation time (p<0.05 and p<0.01) and the frequency of blood product (both p<0.05), in comparison to group A, respectively. The postoperative morbidity and the mortality rates were similar in the three groups. Conclusions: Liver hanging maneuver is a safe procedure, which can decrease intraoperative blood loss and administration of blood product in right-side hepatectomy.