In order to ameliorate early recovery after liver transplantation a reduction of invasiveness of the abdominal incision has been tested and compared with more extended incisions. This approach named "minitransplant procedure" resulted in better early and late outcome results irrespective of preoperative patients' risk factors as previous upper abdominal surgery, Body Mass Index and Model of End Stage Liver Disease score. (Acta gastroenterol. belg., 2010, 73, 367-369).A reduction of invasiveness without increasing operative risk and without affecting outcome is a target of surgery evolution.As previously published (1), we demonstrated that right subcostal (S) incision is sufficient to safely perform liver transplantation (LT), it reduces incisional hernia (IH) incidence and is more comfortable compared to classical Mercedes (M) and J-Shaped (J) incisions.We report our more extensive experience with a minimal abdominal incision prospectively applied in liver transplantation.
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