Brief Article
Copyright ©2011 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Mar 14, 2011; 17(10): 1354-1357
Published online Mar 14, 2011. doi: 10.3748/wjg.v17.i10.1354
Hemi-hepatectomy in pediatric patients using two-surgeon technique and a liver hanging maneuver
Kyoko Mochizuki, Susumu Eguchi, Ryuichiro Hirose, Taiichiro Kosaka, Mitsuhisa Takatsuki, Takashi Kanematsu
Kyoko Mochizuki, Susumu Eguchi, Ryuichiro Hirose, Taiichiro Kosaka, Mitsuhisa Takatsuki, Takashi Kanematsu, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Author contributions: Mochizuki K, Eguchi S, Hirose R, Kosaka T, Takatsuki M and Kanematsu T performed the research; Mochizuki K and Eguchi S analyzed the data; Mochizuki K and Eguchi S wrote the paper.
Correspondence to: Susumu Eguchi, MD, FACS, FEBS, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. sueguchi@nagasaki-u.ac.jp
Telephone: +81-95-8197316 Fax: +81-95-8197319
Received: October 29, 2010
Revised: January 18, 2011
Accepted: January 25, 2011
Published online: March 14, 2011
Abstract

AIM: To evaluate the efficacy of the two-surgeon technique with the liver hanging maneuver (LHM) for hepatectomies in pediatric patients with hepatoblastoma.

METHODS: Three pediatric patients with hepatoblastoma were enrolled in this study. Two underwent right hemi-hepatectomies and one underwent a left hemi-hepatectomy using the two-surgeon technique by means of saline-linked electric cautery (SLC) and the Cavitron Ultrasonic Surgical Aspirator (CUSA; Valleylab, Boulder, CO) and the LHM.

RESULTS: The mean operative time during the parenchymal transections was 50 min and the mean blood loss was 235 g. There was no bile leakage from the cut surface after surgery. No macroscopic or microscopic-positive margins were observed in the hepatic transections.

CONCLUSION: The two-surgeon technique using SLC and CUSA with the LHM is applicable to even pediatric patients with hepatoblastoma.

Keywords: Two-surgeon technique; Liver hanging maneuver; Hepatoblastoma; Hepatectomy; Pediatric surgery