Many types of incisions have been tried for liver transplantation. Among them, the upper midline incision is one of the most minimalist. It is an understandable choice by Suh KS et al. to prefer an upper midline incision for minimally invasive living donor liver transplantation, and we agree on this issue. However, according to us, laparoscopic assistance requirement in addition to midline laparotomy can not be necessary in all living donor liver transplantation cases. An upper midline incision alone (without laparoscopic assistance) has been used successfully for the explantation of the native liver as well as the implantation of the graft liver². Adding trocar entries, laparoscopic equipment, time-consuming procedures, and increasing operative cost can not be necessary.

中文翻译：

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上中线切口微创活体肝移植是否始终需要腹腔镜辅助？

许多类型的切口已被尝试用于肝移植。其中，上中线切口是最简约的切口之一。这是 Suh KS 等人可以理解的选择。微创活体肝移植首选中线上切口，我们同意这个问题。然而，根据我们的说法，并非所有活体肝移植病例都需要除中线剖腹手术外的腹腔镜辅助要求。单独的上中线切口（无需腹腔镜辅助）已成功用于移植自体肝脏以及移植肝²的植入。添加套管针入口、腹腔镜设备、耗时的程序和增加的手术成本都不是必需的。