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Updated: Feb 15, 2026

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
[Application of liver hanging maneuver in anterior approach for isolated complete liver caudate lobectomy]
Xiangfeng Liu1, Xiongying Miao, Dewu Zhong
1Department of Hepatobiliary Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Objective:
To explore the technique and effect of liver hanging maneuver in anterior approach for isolated complete liver caudate lobectomy.
Methods:
We recruited 17 patients with liver caudate lobe tumor (13 primary hepatocellular carcinoma, 3 cholangiocarcinoma and 1 liver metastasis from colorectal cancer). Isolated complete caudate lobectomy with liver hanging maneuver was performed in 17 patients.
Results:
All 17 patients were successfully received the above-mentioned operation. The operative time was 166-427 (211.5 ± 20.1) min and the intraoperative blood loss was 372-1 208 (472.7 ± 83.6) mL. There was no operative death. The survival rates of follow up for 1, 3 and 5 years were 76.5%, 52.9% and 23.5%, respectively.
Conclusion:
Liver hanging maneuver for isolated complete resection of the caudate lobe is an ideal approach for liver neoplasms resection.
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