{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:58:21Z","timestamp":1789171101616,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T00:00:00Z","timestamp":1745280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T00:00:00Z","timestamp":1745280000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Performing the living donor liver transplant (LDLT) recipient operation via a midline incision (MILT) may reduce perioperative morbidity and postoperative wound related issues. Also, it is likely to bear significance in the current era of minimally invasive recipient surgery (MIRS) as competence in performing an MILT is likely to be the stepping\u2010stone toward and importantly, the safety net in performing a safe MIRS. We present our series of MILT, highlighting the evolution and its technical modifications.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Propensity score matched analysis (based on MELD, GRWR, and etiology) of MILT versus standard LDLT (reverse\n L<\/jats:italic>\n incision) (SILT) with a 1:2 ratio was performed from a prospectively collected database. All perioperative recipient data including postoperative morbidity and mortality were compared.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among 75 MILT and 150 SILT patients, there were no significant differences between the groups with regards to operative time (520\u00a0\u00b1\u00a073 vs. 522\u00a0\u00b1\u00a0120\u00a0min,\n p<\/jats:italic>\n \u00a0=\u00a00.89) and cold ischemia time (110\u00a0\u00b1\u00a045 vs. 118\u00a0\u00b1\u00a060\u00a0min,\n p<\/jats:italic>\n \u00a0=\u00a00.31). The warm ischemia time was significantly longer in the MILT group (52\u00a0\u00b1\u00a024\u00a0min vs. 46\u00a0\u00b1\u00a014\u00a0min,\n p<\/jats:italic>\n \u00a0=\u00a00.02). While the mean blood loss was comparable between the groups (1675\u00a0\u00b1\u00a0850 vs. 1550\u00a0\u00b1\u00a01150\u00a0mL,\n p<\/jats:italic>\n \u00a0=\u00a00.41), blood transfusion requirements including packed red cells (5 (IQR:3\u20137) vs. 3 (IQR:1\u20136),\n p<\/jats:italic>\n \u00a0=\u00a00.03) and fresh frozen plasma (3 (IQR:2\u20134) vs. 2 (IQR:0\u20133),\n p<\/jats:italic>\n \u00a0=\u00a00.02) were significantly higher in MILT patients. There was no difference between the groups with regards to major 90\u2010day morbidity (18.6% vs. 15.3%,\n p<\/jats:italic>\n \u00a0=\u00a00.53), duration of hospital stay (15 (IQR:10\u201318) vs. 14 (IQR: 12\u201318) days,\n p<\/jats:italic>\n \u00a0=\u00a00.06), and 1\u2010year (92% vs. 95.3%) and 3\u2010year mortality (92% vs. 91.4%) (\n p<\/jats:italic>\n \u00a0=\u00a00.89).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n We present the feasibility and safety of MILT in LDLT. In the current milieu of MIRS, competence in performing a safe MILT may become an essential component of the recipient surgeon's armamentarium.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/wjs.12593","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T09:39:18Z","timestamp":1745314758000},"page":"1625-1631","source":"Crossref","is-referenced-by-count":3,"title":["Midline Incision Living Donor Liver Transplantation as a Step Toward Minimally Invasive Liver Transplantation: A Propensity Score Matched Analysis"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9528-8892","authenticated-orcid":false,"given":"A.","family":"Rammohan","sequence":"first","affiliation":[{"name":"The Institute of Liver Disease & Transplantation Dr. Rela Institute & Medical Centre Bharath Institute of Higher Education & Research Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Palaniappan","sequence":"additional","affiliation":[{"name":"The Institute of Liver Disease & Transplantation Dr. Rela Institute & Medical Centre Bharath Institute of Higher Education & Research Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Puri","sequence":"additional","affiliation":[{"name":"The Institute of Liver Disease & Transplantation Dr. Rela Institute & Medical Centre Bharath Institute of Higher Education & Research Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Rajalingam","sequence":"additional","affiliation":[{"name":"The Institute of Liver Disease & Transplantation Dr. Rela Institute & Medical Centre Bharath Institute of Higher Education & Research Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Garg","sequence":"additional","affiliation":[{"name":"The Institute of Liver Disease & Transplantation Dr. Rela Institute & Medical Centre Bharath Institute of Higher Education & Research Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Balasubramanian","sequence":"additional","affiliation":[{"name":"The Institute of Liver Disease & Transplantation Dr. Rela Institute & Medical Centre Bharath Institute of Higher Education & Research Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Rajakumar","sequence":"additional","affiliation":[{"name":"The Institute of Liver Disease & Transplantation Dr. Rela Institute & Medical Centre Bharath Institute of Higher Education & Research Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Narasimhan","sequence":"additional","affiliation":[{"name":"The Institute of Liver Disease & Transplantation Dr. Rela Institute & Medical Centre Bharath Institute of Higher Education & Research Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Rela","sequence":"additional","affiliation":[{"name":"The Institute of Liver Disease & Transplantation Dr. Rela Institute & Medical Centre Bharath Institute of Higher Education & Research Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v13.i7.668"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002524"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004475"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v23.i20.3730"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.24119"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/ti.2024.12536"},{"key":"e_1_2_10_8_1","first-page":"273","article-title":"Liver Transplantation From an Upper Midline Incision","volume":"9","author":"Kayaalp C.","year":"2011","journal-title":"Experimental and Clinical Transplantation :Official Journal of the Middle East Society for Organ 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