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. 2018 Jan 12;25(1):1073274817744621. doi: 10.1177/1073274817744621

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© The Author(s) 2018

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 3. — Combination of “hanging maneuver” technique and anterior approach for resection of a large right-sided HCC (14 cm). A, Abdominal CT scan (axial image) revealing a giant right lobe HCC. B, Intraoperative image revealing a Penrose drain inserted along the retrohepatic space and anterior to the inferior vena cava (IVC) to allow to “hang” the liver while anterior transection is performed. C, Intraoperative image revealing post-transection aspect of the liver. Note that the right liver has not yet been mobilized. D, Intraoperative image revealing the last portion of the procedure, after transection of the right hepatic vein, and as the right lobe is being mobilized and once transection has been completed. Note the IVC completely exposed after the anterior approach, which is greatly facilitated by the hanging maneuver. CT indicates computed tomography; HCC, hepatocellular carcinoma.