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Updated: Jun 10, 2025
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
Novel procedure for hepatic venous outflow block after liver resection: A case report
Hisanobu Higashi1,2, Yuta Abe3, Kodai Abe2
1Department of Surgery, National Hospital Organization Saitama Hospital, Wako 351-0102, Japan.
Background:
Postoperative complications like remnant hepatic vein (HV) outflow block and liver torsion can occur after right hepatectomy. Hepatic falciform ligament fixation is typically used to prevent liver torsion. We report a novel procedure to manage outflow block.
Case Summary:
An 80-year-old man developed HV outflow block after remnant right hepatectomy, despite liver fixation and intraoperative HV flow check. He had a history of cholangiocellular carcinoma and had undergone posterior segmentectomy and choledojejunostomy. The falciform ligament fixation was inadequate to maintain liver position. Emergency surgery was performed, using an omental flap and mobilized right side colon with ileocecal region to prevent liver dislocation due to intraabdominal adhesion. His postoperative course was uneventful.
Conclusion:
This is the first report providing a novel surgical procedure when the falciform ligament is insufficient for remnant liver fixation.
