Which Incision Is Better for Living-Donor Right Hepatectomy? Midline, J-Shaped, or Mercedes

Abstract Incision-related morbidity for donors is a major concern in living-donor right hepatectomy (LDRH). Open approaches use midline, J-shaped, and Mercedes incisions for LDRH. We retrospectively studied 95 consecutive donors who underwent LDRH between January 2009 and November 2010. They underwe...

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Bibliographic Details
Published in:Transplantation proceedings 2013, Vol.45 (1), p.218-221
Main Authors: Demirbas, T, Bulutcu, F, Dayangac, M, Yaprak, O, Guler, N, Oklu, L, Akyildiz, M, Altaca, G, Tokat, Y, Yuzer, Y
Format: Article
Language:English
Subjects:
Adult
Female
Hepatectomy - adverse effects
Hepatectomy - methods
Humans
Liver - anatomy & histology
Liver - surgery
Liver Transplantation - methods
Living Donors
Male
Middle Aged
Models, Statistical
Pain, Postoperative - diagnosis
Postoperative Complications - diagnosis
Retrospective Studies
Surgery
Surgical Procedures, Operative
Treatment Outcome
Young Adult
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Summary:Abstract Incision-related morbidity for donors is a major concern in living-donor right hepatectomy (LDRH). Open approaches use midline, J-shaped, and Mercedes incisions for LDRH. We retrospectively studied 95 consecutive donors who underwent LDRH between January 2009 and November 2010. They underwent midline (n = 32), J-shaped (n = 28), or Mercedes (n = 35) incisions. We studied resection times, perioperative bleeding, postoperative hospital stay, and postoperative pain assessed by the visual analog scale (VAS) and by analgesic requirements as well as laboratory data and complications. Postoperative analgesic requirements and postoperative VAS scores were significantly lower in the midline group ( P < .05) upon univariate but not multivariate analyses. The postoperative complications as well as other parameters were similar between the groups. In conclusion, compared with a J-type shaped or not for Mercedes incision, a donor hepatectomy can be satisfactorily performed via a midline incision by experienced surgeons without increased risk.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2012.06.081