Transcript Modified Makuuchi Incision for Foregut Procedures

From: Modified Makuuchi Incision for Foregut Procedures
Arch Surg. 2010;145(3):281-284. doi:10.1001/archsurg.2010.7
Figure Legend:
Figure 1. The modified Makuuchi incision. A, The modified incision is used for liver and right-sided abdominal surgery. This incision
begins cephalad to the xiphoid, extends to 1 cm above the umbilicus, and then extends laterally to the right. B, The L incision is
used for gastric, pancreatic, and left-sided abdominal surgery. This incision is a mirror image of the modified Makuuchi incision.
Date of download: 4/5/2017
Copyright © 2017 American Medical
Association. All rights reserved.
From: Modified Makuuchi Incision for Foregut Procedures
Arch Surg. 2010;145(3):281-284. doi:10.1001/archsurg.2010.7
Figure Legend:
Figure 2. Placement of retractors for liver surgery. The oncology Thompson retractor system (Thompson Surgical Instruments, Inc,
Traverse City, Michigan) is used. The obesity bar is placed between the posts cephalad and the ends of the sidebars caudad. The
right sidebar is set with the short end on the post and the long end pointing upward and caudad. The left sidebar is set with the long
end on the post and the short end pointing in the lateral direction. Five retractors are used. The first 2 are placed on the cephalad
obesity bar: the rightmost retracts the abdominalCopyright
flap, and©the
leftAmerican
one is placed
in the apex of the vertical portion of the incision. The
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third of
retractor
is set
on the right sidebar and retracts
the
abdominal
wall
to
the
right
and toward the floor. The fourth retractor, set on
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the caudad bar, retracts the lower abdominal wall. The fifth retractor is a fan retractor set on the caudad bar and is used to retract
From: Modified Makuuchi Incision for Foregut Procedures
Arch Surg. 2010;145(3):281-284. doi:10.1001/archsurg.2010.7
Figure Legend:
Figure 3. Closure of the abdomen.
Date of download: 4/5/2017
Copyright © 2017 American Medical
Association. All rights reserved.