ReviewCureus2025
Anatomy and Complications Related to Ligation of the Left Gastric Vein During Pancreatectomy: A Systematic Literature Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pancreatectomy remains the gold standard treatment for pancreatic malignancies but is frequently complicated by delayed gastric emptying (DGE) and gastric venous congestion (GVC). Disruption of the left gastric vein (LGV) has been increasingly implicated in these postoperative complications. We conducted a systematic review, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, to assess the impact of LGV preservation on post-operative complications. A comprehensive search of PubMed, MEDLINE and Google Scholar identified 205 records, 12 of which met the inclusion criteria. This comprised five case reports, two case series, two retrospective studies, one prospective imaging study, one single-centre prospective observational study and one retrospective case series. Six studies described intraoperative LGV identification via imaging or direct visualisation, while six reported complications following LGV sacrifice. Selected cases involved LGV preservation or reconstruction to mitigate adverse outcomes. Preoperative 3D-CT and MRCP facilitated surgical planning in some studies. Results showed that the LGV plays a critical role in gastric venous drainage. Its anatomical variability and inconsistent intraoperative assessment may contribute to complications. While preservation or reconstruction appears beneficial in select cases, current evidence remains limited. Further prospective, multicentre studies are essential to establish evidence-based guidelines for LGV management during pancreatectomy.
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Registered trials
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.