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Major liver resection by a hanging maneuver for an infant with hepatoblastoma

Megumi Kobayashi, Masaru Mizuno, Yasushi Hasegawa, Hiroyuki Nitta, Go Wakabayashi

Am J Case Rep 2012; 13:140-142

DOI: 10.12659/AJCR.883241

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.

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