@article{oai:kumadai.repo.nii.ac.jp:00028047,
 author = {別府, 透 and 石河, 隆敏 and 近本, 亮 and 小森, 宏之 and 増田, 稔郎 and 林, 洋光 and Hayashi, Hiromitsu and 岡部, 弘尚 and 太田尾, 龍 and 杉山, 眞一 and Sugiyama, Shin-ichi and 那須, 二郎 and Nasu, Jiro and 堀野, 敬 and Takamori, Hiroshi and 高森, 啓史 and 馬場, 秀夫 and Beppu, Toru and Ishiko, Takatoshi and Chikamoto, Akira and 小森, 宏之 and Komori, Hiroyuki and 増田, 稔郎 and Masuda, Toshiro and 林, 洋光 and Hayashi, Hiromitsu and Okabe, Hirohisa and Otao, Ryu and 杉山, 眞一 and Sugiyama, Shin-ichi and 那須, 二郎 and Nasu, Jiro and Horino, Kei and Takamori, Hiroshi and Baba, Hideo},
 issue = {114},
 journal = {Hepato-Gastroenterology},
 month = {Mar},
 note = {application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, 論文(Article), Background/Aims: To clarify the clinical benefits of the maneuver in right-side hepatectomy. Methodology: Eighty-one patients with liver tumor (54 hepatocellular carcinoma, 17 metastatic liver tumor and 10 other tumors) treated with a right-side hepatectomy were prospectively analyzed. The patients were divided into the following three groups: a conventional approach (group A, n=21); liver dissection under the hanging maneuver after liver mobilization (group B, n=19) and liver dissection under the hanging maneuver prior to liver mobilization (group C, n=41). Results: The liver hanging maneuver was safely performed in all the patients in groups B and C. Tumor size had a significantly positive correlation with the amount of intraoperative blood loss (R=0.52, p<0.05) in group A only. The patients in groups B and C had a significantly lower intraoperative use of blood loss (both p<0.01), operation time (p<0.05 and p<0.01) and the frequency of blood product (both p<0.05), in comparison to group A, respectively. The postoperative morbidity and the mortality rates were similar in the three groups. Conclusions: Liver hanging maneuver is a safe procedure, which can decrease intraoperative blood loss and administration of blood product in right-side hepatectomy.},
 pages = {542--545},
 title = {Liver Hanging Maneuver Decreases Blood Loss and Operative Time in a Right-Side Hepatectomy},
 volume = {59},
 year = {2012},
 yomi = {ハヤシ, ヒロミツ and スギヤマ, シンイチ and ナス, ジロウ and タカモリ, ヒロシ and コモリ, ヒロユキ and マスダ, トシロウ and ハヤシ, ヒロミツ and スギヤマ, シンイチ and ナス, ジロウ}
}