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Published in:

01-03-2006

Optimal Abdominal Incision for Partial Hepatectomy: Increased Late Complications with Mercedes-type Incisions Compared to Extended Right Subcostal Incisions

Authors: Michael D’Angelica, MD, Sridevi Maddineni, MD, Yuman Fong, MD, Robert C.G. Martin, MD, Michael S. Cohen, MD, Leah Ben-Porat, MS, Mithat Gonen, PhD, Ronald P. DeMatteo, MD, Leslie H. Blumgart, MD, William R. Jarnagin, MD

Published in: World Journal of Surgery | Issue 3/2006

Abstract

Introduction

The optimal abdominal incision for partial hepatectomy has not been established.

Methods

A prospective hepatobiliary surgery database was retrospective reviewed. Patients with Mercedes and extended right subcostal (ERSC) incisions were identified and compared.

Results

Between December 1991 and September 2001 a total of 1426 patients met the inclusion criteria. Among them, 856 (60%) had a Mercedes incision and 570 (40%) an ERSC incision. The two groups were well matched for demographics and operative variables. Perioperative morbidity and pulmonary complications were similar for the two groups as well. There was no difference in terms of early wound complications, although incisional hernias occurred in 9.8% of patients with a Mercedes incision compared to 4.8% of those with an ERSC incision (P = 0.0001.) On multivariate analysis, the incision type, along with gender, body mass index, and age, were significant predictors of incisional hernia.

Conclusions

An ERSC incision for partial hepatectomy provides adequate, safe access and is associated with fewer long-term wound complications.

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Title: Optimal Abdominal Incision for Partial Hepatectomy: Increased Late Complications with Mercedes-type Incisions Compared to Extended Right Subcostal Incisions
Authors: Michael D’Angelica, MD
Sridevi Maddineni, MD
Yuman Fong, MD
Robert C.G. Martin, MD
Michael S. Cohen, MD
Leah Ben-Porat, MS
Mithat Gonen, PhD
Ronald P. DeMatteo, MD
Leslie H. Blumgart, MD
William R. Jarnagin, MD
Publication date: 01-03-2006
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 3/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-005-0183-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Optimal Abdominal Incision for Partial Hepatectomy: Increased Late Complications with Mercedes-type Incisions Compared to Extended Right Subcostal Incisions

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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