Evidence map›Paper›PMID 40488867›Full record

ArticleLangenbeck's archives of surgery2025

Comparison of combined versus separate reconstruction of middle hepatic vein tributaries in the right lobe split liver transplantation.

Zhengwei Lin, Fei Feng, Qi Yu, Yingpeng Ye, Yong Yang, Hongda Zhu, Shengdong Wu, Jing Huang, Caide Lu, Jiongze Fang

Abstract readComparative Study
In one paragraph

Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Venous reconstruction in living donor liver transplantation: lessons learned from a new national program in a resource-limited setting.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Zhengwei LinDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China.
Fei FengDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China.
Qi YuDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China.
Yingpeng YeDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China.
Yong YangDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China.
Hongda ZhuDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China.
Shengdong WuDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China.
Jing HuangDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China.
Caide LuDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China. lucaide@nbu.edu.cn.
Jiongze FangDepartment of Hepato-Pancreato-Biliary Surgery, The Affiliated Lihuili Hospital of Ningbo University, 1111 Jiangnan Road, Ningbo, 315048, China. fangjiongze@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere are few studies on the reconstruction of the middle hepatic vein (MHV) tributaries in split liver transplantation (SLT) using right lobe grafts. This study aimed to compare the outcomes of patients undergoing combined reconstruction of MHV tributaries and the right hepatic vein (RHV) versus those undergoing separate reconstruction.

methodsClinical data of 114 patients who underwent SLT from March 2021 to December 2023 were retrospectively collected. We analyzed and compared the postoperative outcomes and reconstructed MHV patency between different modalities of MHV tributaries reconstruction in the right lobe SLT.

resultsForty-five right lobe grafts were reconstructed with the MHV tributaries and were divided into two groups according to the type of reconstruction. Group 1 (n = 19) received separate reconstruction, while Group 2 (n = 26) received combined reconstruction. The duration of warm ischemia in Group 2 was significantly less than that in Group 1 (47.9 ± 7.8 vs. 59.7 ± 15.6 min, P = 0.002), and the ICU hospitalization time was significantly less in Group 2 than in Group 1 (2 vs. 3 days, P = 0.022). The complete patency rate of the reconstructed MHV at 30 days postoperatively was higher in Group 2 than in Group 1 (96.2% vs. 68.4%, P = 0.031). The rates of postoperative complications were comparable between the two groups.

conclusionCombined reconstruction of the MHV tributaries and RHV in SLT improves the rate of complete patency of the reconstructed MHV, reduces warm ischemia time, and shortens the length of ICU stay.

Indexed as

Hepatic VeinsLiver TransplantationPlastic Surgery ProceduresVascular Surgical ProceduresAdultFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeVascular PatencyWarm IschemiaMiddle hepatic veinPatencyRight lobeSplit liver transplantation

Identifiers

PMID40488867
PMCPMC12149259

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.