{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T21:44:23Z","timestamp":1780609463740,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,7,9]],"date-time":"2016-07-09T00:00:00Z","timestamp":1468022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Living donor liver transplantation is a viable option to increase access to transplantation and techniques to limit the operative incision is one way to increase donation by decreasing donor morbidity. We describe our experience with a limited upper midline incision (<jats:styled-content style=\"fixed-case\">UMI<\/jats:styled-content>) for living donor right hepatectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective data were collected on 58 consecutive living liver donors who underwent right hepatectomy via a <jats:styled-content style=\"fixed-case\">UMI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Donor median age was 32\u00a0years, with median body mass index of 24.6. The mean incision length was 11.7\u00a0cm. Ten liver grafts included middle hepatic vein. The mean graft volume by preoperative imaging was 940\u00a0cc. The mean operative time was 407\u00a0minutes; cellsaver was utilized in 35 patients with median of 1 unit. Mean peak aspartate transaminase (<jats:styled-content style=\"fixed-case\">AST<\/jats:styled-content>) and alanine transaminase (<jats:styled-content style=\"fixed-case\">ALT<\/jats:styled-content>) were 492 and 469, and peak bilirubin and international normalized ratio (<jats:styled-content style=\"fixed-case\">INR<\/jats:styled-content>) were 3.3 and 1.8. The average length of stay was 6\u00a0days. There were 10 Clavien grade I and 11 Clavien grade <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> complications. Three patients developed an incisional hernia requiring surgical repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Living liver donor hepatectomy can be safely performed through a <jats:styled-content style=\"fixed-case\">UMI<\/jats:styled-content>. This approach consolidates the steps of liver mobilization, hilar dissection, and parenchymal transection in a single\u2010exposure technique, with incision comparable to the laparoscopic\u2010assisted modality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.12781","type":"journal-article","created":{"date-parts":[[2016,6,13]],"date-time":"2016-06-13T07:02:43Z","timestamp":1465801363000},"page":"1010-1015","source":"Crossref","is-referenced-by-count":10,"title":["Upper midline incision for living donor right hepatectomy"],"prefix":"10.1111","volume":"30","author":[{"given":"Manoj K.","family":"Singh","sequence":"first","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nir","family":"Lubezky","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matias","family":"Facciuto","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Contreras\u2010Saldivar","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram","family":"Wadhera","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonios","family":"Arvelakis","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianne","family":"LaPointe\u2010Rudow","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sander","family":"Florman","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo E.","family":"Facciuto","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,9]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Organ Procurement and Transplantation Network\/Scientific Registry of Transplant Recipients: Annual Reports.2013. 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