Double liver hanging manoeuvre for central hepatectomy.

  title={Double liver hanging manoeuvre for central hepatectomy.},
  author={Atsushi Nanashima and Syuuichi Tobinaga and Masato Araki and Takashi Nonaka and Takafumi Abo and Shigekazu Hidaka and Hiroaki Takeshita and Terumitsu Sawai and Takeshi Nagayasu},
  journal={HPB : the official journal of the International Hepato Pancreato Biliary Association},
  volume={11 6},
We describe a modification of Belghiti's liver hanging manoeuvre (LHM) using two small tubes placed in the cut planes, the first between the left lateral and medial sections, and the second along the right hepatic vein, to achieve complete anatomic central hepatectomy for a large tumour compressing surrounding vessels. Using this technique, a large central hepatocellular carcinoma compressing hilar vessels and the right hepatic vein was easily and safely resected in a 57-year-old man. 

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