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Case Report

Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report

  • Authors:
    • Shamir O. Cawich
    • Dexter A.W. Thomas
    • Vindra Ragoonanan
    • Chunilal Ramjit
    • Dylan Narinesingh
    • Vijay Naraynsingh
    • Neil Pearce
  • View Affiliations / Copyright

    Affiliations: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine, The Republic of Trinidad and Tobago, Hepatobiliary Division, Department of Surgery, Southampton General Hospital, SO16 6YD Southampton, UK
  • Pages: 687-692
    |
    Published online on: July 28, 2017
       https://doi.org/10.3892/mco.2017.1352
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Abstract

Liver resections are safe when performed by specialized hepatobiliary teams. However, complex liver resections are accompanied by significant perioperative risk and they may require modifications of the conventional surgical techniques. We herein report the case of a 54‑year‑old male patient who underwent an extended right liver resection with en bloc resection and reconstruction of the inferior vena cava. For this complex resection, a modification of the standard operative technique was required. A modified hanging manoeuvre was performed using two 19Fr nasogastric tubes outside the traditional avascular plane to facilitate resection. This modification of the hanging manoeuvre was proven to be feasible and safe, and it is recommended for inclusion in the armamentarium of hepatobiliary surgeons when complex resections are required.
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Copy and paste a formatted citation
Spandidos Publications style
Cawich SO, Thomas DA, Ragoonanan V, Ramjit C, Narinesingh D, Naraynsingh V and Pearce N: Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report. Mol Clin Oncol 7: 687-692, 2017.
APA
Cawich, S.O., Thomas, D.A., Ragoonanan, V., Ramjit, C., Narinesingh, D., Naraynsingh, V., & Pearce, N. (2017). Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report. Molecular and Clinical Oncology, 7, 687-692. https://doi.org/10.3892/mco.2017.1352
MLA
Cawich, S. O., Thomas, D. A., Ragoonanan, V., Ramjit, C., Narinesingh, D., Naraynsingh, V., Pearce, N."Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report". Molecular and Clinical Oncology 7.4 (2017): 687-692.
Chicago
Cawich, S. O., Thomas, D. A., Ragoonanan, V., Ramjit, C., Narinesingh, D., Naraynsingh, V., Pearce, N."Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report". Molecular and Clinical Oncology 7, no. 4 (2017): 687-692. https://doi.org/10.3892/mco.2017.1352
Copy and paste a formatted citation
x
Spandidos Publications style
Cawich SO, Thomas DA, Ragoonanan V, Ramjit C, Narinesingh D, Naraynsingh V and Pearce N: Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report. Mol Clin Oncol 7: 687-692, 2017.
APA
Cawich, S.O., Thomas, D.A., Ragoonanan, V., Ramjit, C., Narinesingh, D., Naraynsingh, V., & Pearce, N. (2017). Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report. Molecular and Clinical Oncology, 7, 687-692. https://doi.org/10.3892/mco.2017.1352
MLA
Cawich, S. O., Thomas, D. A., Ragoonanan, V., Ramjit, C., Narinesingh, D., Naraynsingh, V., Pearce, N."Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report". Molecular and Clinical Oncology 7.4 (2017): 687-692.
Chicago
Cawich, S. O., Thomas, D. A., Ragoonanan, V., Ramjit, C., Narinesingh, D., Naraynsingh, V., Pearce, N."Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report". Molecular and Clinical Oncology 7, no. 4 (2017): 687-692. https://doi.org/10.3892/mco.2017.1352
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