Modified Makuuchi incision for foregut procedures.
The Makuuchi or J incision completely exposes the liver and right-sided retroperitoneal organs. The modified Makuuchi incision also achieves a superb en face view of critical structures, including the hepatocaval junction and the esophageal hiatus, but does not divide the intercostal muscles, thus reducing muscle atrophy and postoperative pain. This incision also offers significant advantages over other incisions commonly used in foregut surgery. We describe herein the use of the modified Makuuchi incision for foregut procedures, with particular emphasis on strategic retractor placement.
Chang
Sharon B
SB
Department of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030, USA.
Palavecino
Martin
M
Wray
Curtis J
CJ
Kishi
Yoji
Y
Pisters
Peter W T
PW
Vauthey
Jean-Nicolas
JN
D034861:Abdominal Wall / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D014781:Viscera / Q000601:surgery*