A CASE OF RIGHT HEPATECTOMY FOR INTRAHEPATIC CHOLANGIOCARCINOMA INVOLVING VENA CAVA USING THE LIVER HANGING MANEUVER

Abstract

We performed right hepatectomy for intrahepatic cholangiocarcinoma involving vena cava using Belghiti's liver hanging maneuver. A 76-year-old woman had undergone an operation for lung carcinoma. During follow-up by a chest CT scan, a 4-cm cholangiocarcinoma involving vena cava was found in the right lateral sector. Dissection between liver and vena cava was possible and nasogastric tube was inserted into this space. The liver was then transected on the Cantlie line using the hanging maneuver and then the involved vena cava was finally resected. The liver hanging maneuver is a useful technique for anterior resection of the liver in patients with liver tumor involving surrounding organs.