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Published on: January 25, 2010
Extended Right Hepatectomy by Liver Hanging Maneuver in an Infant with Hepatoblastoma
C Ramachandra1, Sharma Vikas2, S Krishnamurthy1
1Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka India.
Insights
The liver hanging maneuver (LHM) offers a safe approach for pediatric liver resections, even in infants. This technique is particularly beneficial for large pediatric liver tumors, minimizing surgical risks.
Area of Science:
- Pediatric Surgery
- Surgical Oncology
- Hepatobiliary Surgery
Background:
- The liver hanging maneuver (LHM) is an established technique for hepatic resections.
- Its application in pediatric patients is limited due to technical challenges and less experience compared to adults.
Abstract:
Liver hanging maneuver (LHM) is now a safe, accurate, and well established technique for various kinds of hepatic resections. But because of technical difficulty and limited experience, there have been very few reports of hepatic resection using LHM in children as compared to adults. We hereby report a case of extended right hepatectomy with part of caudate lobectomy using LHM in an 8-month-old infant for a large hepatoblastoma in Kidwai Memorial Institute of Oncology, a regional cancer center in south India. LHM facilitates major hepatectomy with "anterior approach," reducing several risks caused by liver mobilization: bleeding, rupture of the tumor, tumor cell dissemination, hemodynamic instability, and post op liver failure. This technique is very useful and safe for bulky pediatric hepatic tumors.
