Evidence map›Paper›PMID 41774366›Full record

ArticleAnnals of surgical oncology2026

Evaluation of Clinical Outcomes and Graft Patency Following Venous Resection and Vascular Reconstruction Using a Recanalized Ligamentum Teres Hepatis Graft in Pancreaticoduodenectomy.

Wen-Tao Zhu, Zhi-Wei Liu, Qiang Wei, Fan Zhang, Hai-Bin Ji, Jian-Yong Cui, Qiang-Pu Chen

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Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Wen-Tao ZhuDepartment of Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou, China.
Zhi-Wei LiuDepartment of Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou, China.
Qiang WeiDepartment of Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou, China.
Fan ZhangDepartment of Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou, China.
Hai-Bin JiDepartment of Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou, China.
Jian-Yong CuiDepartment of Clinical Nutrition, Binzhou Medical University Hospital, Binzhou, China.
Qiang-Pu ChenDepartment of Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou, China. drchenqiangpu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur objective was to evaluate clinical outcomes and vascular graft patency following portal vein/superior mesenteric vein (PV/SMV) reconstruction using recanalized autologous ligamentum teres hepatis (LTH) grafts.

methodsThis study enrolled 387 patients, stratified into three groups: (1) pancreaticoduodenectomy alone, (2) pancreaticoduodenectomy with vascular resection and reconstruction via end-to-end anastomoses or lateral venorrhaphy, and (3) pancreaticoduodenectomy with PV/SMV resection and reconstruction using autologous LTH grafts. This retrospective study compared operative time, intraoperative blood loss, postoperative complication rates, mortality, and length of postoperative hospital stay across these groups.

resultsThe study included 336 patients who underwent pancreaticoduodenectomy, 23 who underwent pancreaticoduodenectomy with vascular resection and reconstruction via end-to-end anastomosis or lateral venorrhaphy, and 28 who underwent pancreaticoduodenectomy with PV/SMV resection and reconstruction using autologous LTH grafts. The group using autologous LTH grafts exhibited an operative time of 484.86 ± 103.77 (285-685) min; intraoperative blood loss of 236.79 ± 141.95 (80-800) mL; a postoperative complication rate of 42.86%; 30-day mortality rate of 7.14%; and postoperative hospital stay of 20.82 ± 8.25 (9-49) days. Statistical analysis revealed a significantly longer operative time in the autologous LTH grafts group than in the other groups (p < 0.001), with no significant intergroup differences in blood loss, postoperative complication rates, mortality, or hospitalization. Partial thrombosis involving ≤50% of vessel diameter without obstruction was observed in four cases involving autologous LTH grafts. All reconstructed vessels maintained 100% patency throughout the follow-up period.

conclusionsUsing autologous LTH grafts for PV/SMV reconstruction during pancreaticoduodenectomy was safe and feasible, demonstrating favorable vascular graft patency rates and supporting its role as a viable alternative conduit for vascular restoration.

Indexed as

Mesenteric VeinsPancreatic NeoplasmsPancreaticoduodenectomyPlastic Surgery ProceduresPortal VeinVascular PatencyVascular Surgical ProceduresAgedAnastomosis, SurgicalFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedPostoperative ComplicationsLigamentum teres hepatisPancreaticoduodenectomyPortal veinSuperior mesenteric veinVascular graft

Identifiers

PMID41774366
PMCPMC13179262

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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.