Modified Makuuchi incision for foregut procedures

Sharon B. Chang, Martin Palavecino, Curtis J. Wray, Yoji Kishi, Peter W.T. Pisters, Jean Nicolas Vauthey

Research output: Contribution to journalShort surveypeer-review

40 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)281-284
Number of pages4
JournalArchives of Surgery
Volume145
Issue number3
DOIs
StatePublished - Mar 2010

ASJC Scopus subject areas

  • Surgery

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