ArticleAnnals of surgical treatment and research2019
Analysis of risk factors for portal vein thrombosis after liver resection.
Article in Annals of surgical treatment and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Prevalence and risk factors of portal vein thrombosis following hepatectomy: a systematic review and meta‑analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025Pooled it
- Incidence, risk factors and outcomes for post-hepatectomy portal vein thrombosis: A retrospective study.World journal of gastrointestinal surgery · 2025Article
- Institut Mutualiste Montsouris classification is associated with postoperative portal vein thrombosis in laparoscopic liver resection.Surgical endoscopy · 2025Article
- Article
- Risk Factors and Management of Portal Vein Thrombosis after Hepatectomy: A Single-Center Experience.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Article
- Classification and Management of Portal Vein Thrombosis in Cirrhotic Patients: A Narrative Review.Cureus · 2024Review
- The application of a single-hand-operated hepatic pedicle clamping clamp in laparoscopic hepatectomy.Langenbeck's archives of surgery · 2024Article
- Establishment and application of a survival rate graph model based on biomarkers and imaging indexes after primary hepatocellular carcinoma resection.Cancer medicine · 2023Article
- Prospective validation to prevent symptomatic portal vein thrombosis after liver resection.World journal of hepatology · 2022Article
- Narrowing of the remnant portal vein diameter and decreased portal vein angle are risk factors for portal vein thrombosis after perihilar cholangiocarcinoma surgery.Langenbeck's archives of surgery · 2021Article
- Prediction of portal vein thrombosis after hepatectomy for hepatocellular carcinoma.Langenbeck's archives of surgery · 2021Article
- New classification-oriented treatment strategy for portal vein thrombosis after hepatectomy.Annals of gastroenterological surgery · 2020Article
- Risk Factors and Outcome of Portal Vein Thrombosis After Laparoscopic and Open Hepatectomy for Primary Liver Cancer: A Single-Center Experience.World journal of surgery · 2020Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe evaluated the risk factors for posthepatectomy thrombosis including portal vein thrombosis (PVT) and clinical outcomes.
methodsWe retrospectively analyzed 563 patients who had undergone hepatectomy from February 2009 to December 2014. Twenty-nine patients with preoperatively confirmed thrombosis and tumor recurrence-related thrombosis were excluded. We identified the location of the thrombosis as main portal vein (MPV), peripheral portal vein (PPV) and other site such as hepatic vein or inferior vena cava. Patients with MPV thrombosis and PPV thrombosis with main portal flow disturbance were treated with anticoagulation therapy. We performed operative thrombectomy before anticoagulation therapy who did combined portal vein (PV) segmental resection.
resultsOf the 534 patients, 22 (4.1%) developed posthepatectomy thrombosis after hepatectomy. Among them, 19 (86.4%) had PVT. The mean duration of Pringle's maneuver was significant longer in the PVT group than the no-thrombosis group (P = 0.020). Patients who underwent combined PV segmental resection during hepatectomy were more likely to develop posthepatectomy PVT (P = 0.001). Thirteen patients who had MPV thrombosis and PPV thrombosis with main portal flow disturbance received anticoagulation therapy immediately after diagnosis and all of them were improved. Among them, 2 patients who developed PVT at the PV anastomosis site after PV segmental resection, underwent operative thrombectomy before anticoagulation therapy and both were improved. There were no patients who developed complications related to anticoagulation therapy.
conclusionLong duration of Pringle's maneuver and PV segmental resection were risk factors. Anticoagulation therapy or operative thrombectomy should be considered for PVT without contraindications.
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