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  • Title: Liver transplantation from an upper midline incision.
    Author: Kayaalp C, Aydin C, Unal B, Baskiran A, Ozgor D, Aydinli B, Yilmaz S.
    Journal: Exp Clin Transplant; 2011 Aug; 9(4):273-6. PubMed ID: 21819374.
    Abstract:
    OBJECTIVES: To evaluate the minimally invasive incision to the recipient of a liver transplant. MATERIALS AND METHODS: A 55-year-old man with cirrhosis due to hepatitis B accompanied by hepatocellular carcinoma underwent a right lobe, living-donor liver transplant using an 18-cm long, upper midline incision. The recipient hepatectomy was performed from the left to the right side (from medial to lateral). Deep retractors and long surgical instruments were preferred. RESULTS: The surgical procedure was completed without problem. Both the recipient hepatectomy and implantation of the right liver took 8 hours. Postoperative recovery of the patient was rapid, and he was discharged 8 days after surgery, uneventfully. CONCLUSIONS: An upper midline incision can be preferred for liver transplant for selected cases. Minimally invasive surgery is an option for liver transplant recipients as well.
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