The pediatric surgeon's perspective on the liver hanging maneuver: a case report and literature review
IntroductionThe liver hanging maneuver (HM) is a well–established technique in hepatic surgery, primarily employed to optimize exposure and simplify parenchymal transection during liver resections. While its efficacy and safety have been extensively documented in adult populations, reports on its ap...
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2025.1536755/full |
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| author | Francesca Gigola Kejd Bici Antonino Morabito Antonino Morabito Chiara Grimaldi |
| author_facet | Francesca Gigola Kejd Bici Antonino Morabito Antonino Morabito Chiara Grimaldi |
| author_sort | Francesca Gigola |
| collection | DOAJ |
| description | IntroductionThe liver hanging maneuver (HM) is a well–established technique in hepatic surgery, primarily employed to optimize exposure and simplify parenchymal transection during liver resections. While its efficacy and safety have been extensively documented in adult populations, reports on its application in pediatric surgery are limited. This may be related to peculiarities of the liver anatomy and texture in children and to some specific issues of pediatric liver tumors, especially hepatoblastoma (HB).MethodsThis study reviews the technical adaptations, feasibility, and outcomes of the HM in children, focusing on its role in both routine liver resections and complex cases, such as the separation of conjoined twins. Data of patients treated with and without HM at our center were retrospectively analyzed and a review of recent literature on this topic was performed.ResultsA total of 16 pediatric patients (7 females) underwent HM during hepatic resections with a median age at surgery of 16 months (IQR: 8–22.5). No complications or mortality related to surgery were observed.DiscussionResults demonstrate that with appropriate modifications, the HM is a safe and effective technique in children, offering advantages in minimizing bleeding while improving surgical efficiency. |
| format | Article |
| id | doaj-art-d979c9d15a7b49f5b26e476785c66d65 |
| institution | DOAJ |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-d979c9d15a7b49f5b26e476785c66d652025-08-20T02:59:28ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-03-011310.3389/fped.2025.15367551536755The pediatric surgeon's perspective on the liver hanging maneuver: a case report and literature reviewFrancesca Gigola0Kejd Bici1Antonino Morabito2Antonino Morabito3Chiara Grimaldi4School of Pediatric Surgery, University of Florence, Florence, ItalyDiagnostic and Therapeutic Services Department, IRCCS-ISMETT (Mediterranean Institute for Transplantation and Advanced Specialized Therapies), Palermo, ItalyDepartment of Pediatric Surgery, Meyer Children’s Hospital IRCCS, Florence, ItalyDepartment of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, ItalyDepartment of Pediatric Surgery, Meyer Children’s Hospital IRCCS, Florence, ItalyIntroductionThe liver hanging maneuver (HM) is a well–established technique in hepatic surgery, primarily employed to optimize exposure and simplify parenchymal transection during liver resections. While its efficacy and safety have been extensively documented in adult populations, reports on its application in pediatric surgery are limited. This may be related to peculiarities of the liver anatomy and texture in children and to some specific issues of pediatric liver tumors, especially hepatoblastoma (HB).MethodsThis study reviews the technical adaptations, feasibility, and outcomes of the HM in children, focusing on its role in both routine liver resections and complex cases, such as the separation of conjoined twins. Data of patients treated with and without HM at our center were retrospectively analyzed and a review of recent literature on this topic was performed.ResultsA total of 16 pediatric patients (7 females) underwent HM during hepatic resections with a median age at surgery of 16 months (IQR: 8–22.5). No complications or mortality related to surgery were observed.DiscussionResults demonstrate that with appropriate modifications, the HM is a safe and effective technique in children, offering advantages in minimizing bleeding while improving surgical efficiency.https://www.frontiersin.org/articles/10.3389/fped.2025.1536755/fullliver hanging maneuverchildrenhepatoblastomahepatectomyliver resection |
| spellingShingle | Francesca Gigola Kejd Bici Antonino Morabito Antonino Morabito Chiara Grimaldi The pediatric surgeon's perspective on the liver hanging maneuver: a case report and literature review Frontiers in Pediatrics liver hanging maneuver children hepatoblastoma hepatectomy liver resection |
| title | The pediatric surgeon's perspective on the liver hanging maneuver: a case report and literature review |
| title_full | The pediatric surgeon's perspective on the liver hanging maneuver: a case report and literature review |
| title_fullStr | The pediatric surgeon's perspective on the liver hanging maneuver: a case report and literature review |
| title_full_unstemmed | The pediatric surgeon's perspective on the liver hanging maneuver: a case report and literature review |
| title_short | The pediatric surgeon's perspective on the liver hanging maneuver: a case report and literature review |
| title_sort | pediatric surgeon s perspective on the liver hanging maneuver a case report and literature review |
| topic | liver hanging maneuver children hepatoblastoma hepatectomy liver resection |
| url | https://www.frontiersin.org/articles/10.3389/fped.2025.1536755/full |
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