Bloodless Donor Hepatectomy in Living Donor Liver Transplantation: Counterclockwise Liver Rotation and Early Hanging Maneuver

Hiroshi Sadamori, Takahito Yagi, Susumu Shinoura, Yuzo Umeda, Ryuichi Yoshida, Daisuke Satoh, Daisuke Nobuoka, Masashi Utsumi, Kazuhiro Yoshida, Toshiyoshi Fujiwara

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Introduction: Living donor hepatectomy is important because it determines donor safety and recipient outcome. Methods: We applied the counter-clockwise liver rotation method and the hanging maneuver from an early stage in two major types of living donor operations. Result: Twenty-eight living donors underwent these procedures with significant reduction in blood loss. Right hepatectomy was performed in 14 of the donors and extended left hepatectomy was performed in the other 14 donors. Conclusion: These techniques facilitate safe and bloodless living donor hepatectomy.

Original languageEnglish
Pages (from-to)203-206
Number of pages4
JournalJournal of Gastrointestinal Surgery
Issue number1
Publication statusPublished - 2013



  • Blood loss
  • Hanging maneuver
  • Liver rotation
  • Living donor hepatectomy
  • Living donor liver transplantation

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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