ArticleAnnals of gastroenterological surgery2020
New classification-oriented treatment strategy for portal vein thrombosis after hepatectomy.
Article in Annals of gastroenterological surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- The E-AHPBA-ESSO-Innsbruck consensus recommendations on peri- and postoperative management following liver resection.The British journal of surgery · 2025Guideline
- 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
- Rescue transsplenic thrombectomy for portal remnant thrombosis after ALPPS stage 1.World journal of surgical oncology · 2026Article
- Incidence, risk factors and outcomes for post-hepatectomy portal vein thrombosis: A retrospective study.World journal of gastrointestinal surgery · 2025Article
- 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
- A feasible and safe approach for repeat laparoscopic liver resection and patient selection based on standardized preoperative prediction of surgical difficulty.Langenbeck's archives of surgery · 2023Article
- Prospective validation to prevent symptomatic portal vein thrombosis after liver resection.World journal of hepatology · 2022Article
- 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
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Authors and funding
10 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
aimThis study sought to evaluate the incidence, risk factors, and clinical outcomes of portal vein thrombosis after hepatectomy. Furthermore, we proposed a novel classification and treatment strategy for portal vein thrombosis after hepatectomy.
methodsWe retrospectively analyzed 398 patients who underwent hepatectomy and enhanced computed tomography imaging within 14 days after surgery in our hospital from 2009 to 2019. Portal vein thrombosis was classified into three categories according to the location of the thrombus - main, hilar, and peripheral - with main portal vein thrombosis further subclassified into three grades. Each patient's treatment strategy was determined based on their portal vein thrombosis classification and grading. From 2015, enhanced computed tomography imaging was performed routinely on patients who underwent anatomical hepatectomy on postoperative day 7.
resultsPortal vein thrombosis was diagnosed in 57 patients (14.3%) during the study period. Multivariate analysis revealed that a Pringle maneuver time of 75 minutes or longer was a significant predictor of portal vein thrombosis (
conclusionsPatients who undergo hepatectomy are at high risk for portal vein thrombosis, especially when the Pringle maneuver time is long. The proposed classification and treatment strategy may be useful for clinical management of patients with portal vein thrombosis after hepatectomy.
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