Bloodless donor hepatectomy in living donor liver transplantation: counterclockwise liver rotation and early hanging maneuver.
Living donor hepatectomy is important because it determines donor safety and recipient outcome. We applied the counter-clockwise liver rotation method and the hanging maneuver from an early stage in two major types of living donor operations. 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. These techniques facilitate safe and bloodless living donor hepatectomy.