{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T09:07:00Z","timestamp":1788858420532,"version":"build-2803163510"},"reference-count":7,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Left liver resection and split liver surgery demand precise anatomical orientation during parenchymal transection, particularly in the context of organ procurement and pediatric liver transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We describe the \u201cArantius hanging maneuver\u201d, which involves preserving and transposing the\n                      <jats:italic>caudal<\/jats:italic>\n                      stump of the Arantius ligament into the parenchymal cut surface. A double hanging maneuver using the caudal Arantius' stump and the round ligament consistently guides dissection toward the left biliary plate, enhancing procedural safety. To illustrate its application, we retrospectively reviewed 134 living donor hepatectomies performed between 2015 and 2019 (119 left lateral sectionectomies, 15 left hepatectomies) with donor outcomes assessed at 3\u2009months using the Clavien\u2013Dindo classification. The maneuver was subsequently implemented in 32 split liver procedures (in\u2010\/ex\u2010situ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Donor outcomes were favorable, with no complications in 128 donors (95.5%). Postoperative morbidity included three grade II complications (2.2%), one grade IIIa complication (0.7%) treated by percutaneous drainage, and two grade IIIb complications (1.5%) requiring surgical or endoscopic management. No grade IV or V complications occurred. Recipient 1\u2010year biliary complication rate was 15.6%. In split liver procedures, the maneuver also facilitated identification and division of the left biliary plate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The \u00ab Arantius hanging maneuver \u00bb is a simple and reproducible technique for left liver resection and splitting procedures, associated with encouraging results in both donors and recipients. The caudal portion of the Arantius ligament, often overlooked, may represent an anatomical beacon precisely guiding the surgeon during the procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.70383","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T09:52:47Z","timestamp":1782208367000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Caudal Arantius Hanging Maneuver for Donor Left Liver Resection and Splitting: A Novel Anatomical Beacon in Pediatric Liver Transplantation"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9808-1130","authenticated-orcid":false,"given":"Aniss","family":"Channaoui","sequence":"first","affiliation":[{"name":"Division of Surgery and Abdominal Transplantation Cliniques Universitaires Saint\u2010Luc, UCLouvain  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9247-6641","authenticated-orcid":false,"given":"Hai Trung","family":"Bui","sequence":"additional","affiliation":[{"name":"Department of Surgery Children's Hospital n\u00b02  Ho Chi Minh City Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trong Thien","family":"Than","sequence":"additional","affiliation":[{"name":"Department of Surgery Lam Dong Hospital for Women and Children  Da Lat Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1364-1635","authenticated-orcid":false,"given":"Maxime","family":"Foguenne","sequence":"additional","affiliation":[{"name":"Division of Surgery and Abdominal Transplantation Cliniques Universitaires Saint\u2010Luc, UCLouvain  Brussels Belgium"},{"name":"Experimental Surgery and Transplantation Laboratory Institut de Recherche Exp\u00e9rimentale et Clinique, UCLouvain  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6910-4364","authenticated-orcid":false,"given":"Lancelot","family":"Marique","sequence":"additional","affiliation":[{"name":"Division of Surgery and Abdominal Transplantation Cliniques Universitaires Saint\u2010Luc, UCLouvain  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9913-322X","authenticated-orcid":false,"given":"Roberto","family":"Tambucci","sequence":"additional","affiliation":[{"name":"Division of Surgery and Abdominal Transplantation Cliniques Universitaires Saint\u2010Luc, UCLouvain  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9208-9414","authenticated-orcid":false,"given":"Catherine","family":"de Magn\u00e9e","sequence":"additional","affiliation":[{"name":"Division of Surgery and Abdominal Transplantation Cliniques Universitaires Saint\u2010Luc, UCLouvain  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1605-3393","authenticated-orcid":false,"given":"Olga","family":"Ciccarelli","sequence":"additional","affiliation":[{"name":"Division of Surgery and Abdominal Transplantation Cliniques Universitaires Saint\u2010Luc, UCLouvain  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3968-5591","authenticated-orcid":false,"given":"Laurent","family":"Coubeau","sequence":"additional","affiliation":[{"name":"Division of Surgery and Abdominal Transplantation Cliniques Universitaires Saint\u2010Luc, UCLouvain  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5022-0234","authenticated-orcid":false,"given":"Eliano","family":"Bonaccorsi\u2010Riani","sequence":"additional","affiliation":[{"name":"Division of Surgery and Abdominal Transplantation Cliniques Universitaires Saint\u2010Luc, UCLouvain  Brussels Belgium"},{"name":"Experimental Surgery and Transplantation Laboratory Institut de Recherche Exp\u00e9rimentale et Clinique, UCLouvain  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0699-4600","authenticated-orcid":false,"given":"Raymond","family":"Reding","sequence":"additional","affiliation":[{"name":"Department of Surgery H\u00f4pital Universitaire Des Enfants Reine Fabiola, ULB  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-024-01806-6"},{"key":"e_1_2_9_3_1","article-title":"Improving Safety in Living Liver Donation: Lessons From Intraoperative Adverse Events in 438 Donors Undergoing a Left Liver Resection","volume":"9","author":"Bonaccorsi\u2010Riani 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