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Related Experiment Video

Updated: May 13, 2026

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
13:57

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach

Published on: May 23, 2025

Upper midline incision for liver resection.

Seoung Hoon Kim1, Young Kyu Kim

  • 1Centre for Liver Cancer, National Cancer Centre, Goyang-si, Gyeonggi-do 410-769, South Korea. kshlj@hanmail.net

HPB : the Official Journal of the International Hepato Pancreato Biliary Association
|March 6, 2013
PubMed
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The upper midline incision (UMI) is a safe and effective approach for liver resections in living donors and patients with small tumors. This conventional open-surgery technique demonstrates good outcomes and should be considered a primary option.

Area of Science:

  • Hepatobiliary Surgery
  • Surgical Oncology
  • Transplant Surgery

Background:

  • Optimal surgical incision for liver resection remains a key consideration.
  • The upper midline incision (UMI) above the umbilicus is proposed as an alternative for specific liver resections.

Purpose of the Study:

  • To evaluate the feasibility, safety, and applicability of the upper midline incision (UMI) for liver resections.
  • To assess the UMI's utility in living liver donors and patients with small tumors (≤5 cm).

Main Methods:

  • Retrospective analysis of a prospectively collected database.
  • Inclusion of 308 consecutive liver resections performed using the UMI by a single surgeon.
  • Evaluation of outcomes including operating time, hospital stay, complications, and follow-up.

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Last Updated: May 13, 2026

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
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Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach

Published on: May 23, 2025

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

Main Results:

  • Successful application of UMI in 308 liver resections for small tumors and living donors.
  • Median incision length: 16.4 cm; median operating time: 189 min; median hospital stay: 8 days.
  • Low complication rate (8.1%), including 2.3% wound infections and no incisional hernias. One postoperative death from heart failure.

Conclusions:

  • The upper midline incision (UMI) is a safe and effective technique for conventional open liver resections.
  • UMI is recommended as a first-line approach for living liver donors and patients with tumors ≤5 cm.