USE OF MODIFIED MAKUUCHI INCISION FOR SURGICAL TREATMENT OF ABDOMINAL TUMOR IN CHILDREN

OBJECTIVE: Classical transverse, vertical abdominal or thoracoabdominal incisions in pediatric patients are frequently used to remove large abdominal tumors such as hepatoblastoma and neuroblastoma. We present our initial experiences on our patients who was operated by modified Makuuchi incision. MATERIALS AND METHODS: We used this incision in 6 cases with large abdominal tumors (1 hepatoblastoma and 5 neuroblastoma and/or ganglioneuroma) between January 2019 and August 2020. RESULTS: These patients had previously received chemotherapy according to appropiate protocol. The exposure of surgical field was perfect with this incision and dissection of the tumors was easily performed. Complete removal of large abdominal tumors was successfully achieved in the patients although the masses have close proximity and adhesions with important structures and organs. There was serous collection in 2 patients and it resolved spontaneously. No wound infection, hernia or wound dehiscence was observed during a mean follow-up of 9.6 months (ranged from 3 to 18 months). CONCLUSION: According to our preliminary experiences, the Modified Makuuchi incision provides a nice exposure for removal of large abdominal tumors to the surgeons and is well tolerated by children.