{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T05:16:59Z","timestamp":1781932619087,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,10,30]],"date-time":"2016-10-30T00:00:00Z","timestamp":1477785600000},"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":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The learning curve for performing living donor hemiliver procurement (<jats:styled-content style=\"fixed-case\">LDHP<\/jats:styled-content>) via small upper midline incision (<jats:styled-content style=\"fixed-case\">UMI<\/jats:styled-content>) has not been determined. Living donors (n=101) who underwent <jats:styled-content style=\"fixed-case\">LDHP<\/jats:styled-content> via <jats:styled-content style=\"fixed-case\">UMI<\/jats:styled-content> were included to investigate the learning curve using cumulative sum analysis. The cumulative sum analysis showed that nine cases for right lobe (case #23) and 19 cases for left lobe (case #32 in the whole series) are needed for stable and acceptable surgical outcomes in <jats:styled-content style=\"fixed-case\">LDHP<\/jats:styled-content> via <jats:styled-content style=\"fixed-case\">UMI<\/jats:styled-content>. The established phase (n=69, since case #33) had a significantly shorter operative time, a smaller incision size, and less blood loss than the previous learning phase (n=32, serial case number up to the last 19th left lobe case). Multivariate analysis showed that the learning phase, high body mass index \u226525\u00a0kg\/m<jats:sup>2<\/jats:sup>, and left lobe graft procurement are the factors associated with surgical events including operative blood loss \u2265400\u00a0mL, operative time \u2265300\u00a0minutes, or surgical complications \u2265Clavien\u2010Dindo grade <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>. There is an obvious learning curve in performing <jats:styled-content style=\"fixed-case\">LDHP<\/jats:styled-content> via <jats:styled-content style=\"fixed-case\">UMI<\/jats:styled-content>, and 32 cases including both 19 cases for left lobe and nine cases for right lobe are needed for having stable and acceptable surgical outcomes.<\/jats:p>","DOI":"10.1111\/ctr.12850","type":"journal-article","created":{"date-parts":[[2016,9,21]],"date-time":"2016-09-21T17:32:46Z","timestamp":1474479166000},"page":"1532-1537","source":"Crossref","is-referenced-by-count":9,"title":["The learning curves in living donor hemiliver graft procurement using small upper midline incision"],"prefix":"10.1111","volume":"30","author":[{"given":"Toru","family":"Ikegami","sequence":"first","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norifumi","family":"Harimoto","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Shimokawa","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoharu","family":"Yoshizumi","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideaki","family":"Uchiyama","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Itoh","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihisa","family":"Okabe","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhito","family":"Sakata","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihisa","family":"Nagatsu","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Soejima","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiko","family":"Maehara","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Science Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.23575"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.tp.0000216825.56841.cd"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12471"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12360"},{"key":"e_1_2_8_6_1","unstructured":"ElizabethC.Organ donor's surgery death sparks questions.http:\/\/edition.cnn.com\/2012\/04\/08\/health\/cohen-donor-safety\/. 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