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Updated: May 12, 2026
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
Major liver resection by a hanging maneuver for an infant with hepatoblastoma
Megumi Kobayashi1, Masaru Mizuno, Yasushi Hasegawa
1Department of Surgery Iwate Medical University School of Medicine, Morioka, Japan.
Background:
The liver hanging maneuver (LHM) was reported to be a safe and accurate method for hepatectomy, and its use in adults has been increasing in recent years. Because fragility of a blood vessel and the tissue is concerned about in the children as compared with adults, the adaptation to children is subobsolete.
Case Report:
We describe a case involving an extended right hepatic lobectomy using the LHM in a 5-month-old infant. We received LHM using foceps of the size identical to adults. There were no postoperative complications.
Conclusions:
Anterior approach is suitable for the hepatoblastomas to form a bulky tumor. LHM is a useful and safe technique for hepatectomy in pediatric surgery.
