Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2025; 17(2): 99529
Published online Feb 27, 2025. doi: 10.4240/wjgs.v17.i2.99529
Predicting post-hepatectomy liver failure using a nomogram based on portal vein width, inflammatory indices, and the albumin-bilirubin score
Ke Sun, Jiang-Bin Li, Ya-Feng Chen, Zhong-Jie Zhai, Lang Chen, Rui Dong
Ke Sun, Xi’an Medical College, Xi’an 710000, Shaanxi Province, China
Jiang-Bin Li, Ya-Feng Chen, Lang Chen, Rui Dong, Department of General Surgery, The Second Affiliated Hospital of Air Force Medical University, Xi’an 710000, Shaanxi Province, China
Zhong-Jie Zhai, Statistics Teaching and Research Office, Air Force Medical University, Xi’an 710038, Shaanxi Province, China
Author contributions: Sun K designed the research study; Li JB, Chen YF and Chen L collected and assembled data; Sun K and Zhai ZJ performed data analysis; Sun K wrote the manuscript; Dong R critically revised the manuscript for important intellectual content.
Supported by Shaanxi Provincial Social Development Fund, No. 2024SF-YBXM-140.
Institutional review board statement: This study was approved by the Ethics Committee of The Second Affiliated Hospital of Air Force Medical University, No. K202407-01.
Informed consent statement: This study was retrospective, and the Ethics Committee of the Second Affiliated Hospital of Air Force Medical University approved the waiver of informed consent.
Conflict-of-interest statement: All authors declare no conflicts of interest.
Data sharing statement: The data for this study is available from the corresponding author upon reasonable request at s1208532322@outlook.com.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rui Dong, MD, Affiliate Associate Professor, Associate Chief Physician, Department of General Surgery, The Second Affiliated Hospital of Air Force Medical University, No. 569 Xinsi Road, Baqiao District, Xi’an 710000, Shaanxi Province, China. s1208532322@outlook.com
Received: July 24, 2024
Revised: October 6, 2024
Accepted: October 30, 2024
Published online: February 27, 2025
Processing time: 181 Days and 19.4 Hours
Core Tip

Core Tip: Post-hepatectomy liver failure, a serious complication, poses a serious threat to patients’ postoperative survival rate and quality of life. Therefore, to avoid this, the preoperative prediction of post-hepatectomy liver failure is crucial. This study revealed that portal vein width, the neutrophil-to-lymphocyte ratio, and the albumin-bilirubin score are independent risk factors for post-hepatectomy liver failure (PHLF). We developed a nomogram model based on blood indicators combined with imaging indicators, and this study was the first to combine imaging indicators of portal vein width to construct a prediction model that can highly predict PHLF.