Zhu WT, Wang HT, Guan QH, Zhang F, Zhang CX, Hu FA, Zhao BL, Zhou L, Wei Q, Ji HB, Fu TL, Zhang XY, Wang RT, Chen QP. Ligamentum teres hepatis as a graft for portal and/or superior mesenteric vein reconstruction: From bench to bedside. World J Gastrointest Surg 2023; 15(4): 674-686 [PMID: 37206073 DOI: 10.4240/wjgs.v15.i4.674]
Corresponding Author of This Article
Qiang-Pu Chen, MD, Professor, Department of Hepatobiliary Surgery, Binzhou Medical University Hospital, No. 661 Huang He Er Road, Binzhou 256600, Shandong Province, China. drchenqiangpu@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Table 2 Relative content and stiffness index of fibers in the ligamentum teres hepatis and portal vein
EF (%)
CF (%)
SM (%)
C/E
LTH
11.23 ± 3.40
33.51 ± 7.71
15.61 ± 5.26
3.27 ± 1.22
PV
11.57 ± 2.80
32.11 ± 4.82
16.74 ± 4.83
3.94 ± 0.85
P value
0.62
0.33
0.32
0.16
Table 3 Intraoperative data from 26 total patients
Variable
Value
Type of venous resection + reconstruction
Tangential + patch, n (%)
5 (19.23)
Segmental + interposition, n (%)
21 (80.77)
Length of the segmental resected vein in mm
40 (35-50)
Length of the interposition graft in mm
40 (30-40)
Operative time in min
485 (397.50-572.75)
Blood loss at surgery in mL
200 (150-300)
Vein clamping time in min
50 (40-60)
Table 4 Postoperative outcomes
Postoperative complications
Patients
Grade I
3
Bile leakage
2
Pulmonary infection
1
Grade II
5
Pancreatic leakage
1
Delayed gastric emptying, grade B
1
Pulmonary infection
2
Gastrointestinal hemorrhage
1
Grade III
2
Gastrointestinal bleeding
1
Lymphorrhea requiring abdominocentesis
1
Grade IV
0
Grade V, death
2
Overall morbidity, n/total (%)
10/26 (38.46)
Overall mortality, n/total (%)
2/26 (7.69)
Citation: Zhu WT, Wang HT, Guan QH, Zhang F, Zhang CX, Hu FA, Zhao BL, Zhou L, Wei Q, Ji HB, Fu TL, Zhang XY, Wang RT, Chen QP. Ligamentum teres hepatis as a graft for portal and/or superior mesenteric vein reconstruction: From bench to bedside. World J Gastrointest Surg 2023; 15(4): 674-686