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        ©The Author(s) 2023.
    
    
        World J Gastrointest Surg. Apr 27, 2023; 15(4): 674-686
Published online Apr 27, 2023. doi: 10.4240/wjgs.v15.i4.674
Published online Apr 27, 2023. doi: 10.4240/wjgs.v15.i4.674
            Table 1 Diameter of the dilated ligamentum teres hepatis
        
    | Measure point1 | Cases | Diameter in mm | 
| 1 | 104 | 12.82 ± 1.32 | 
| 2 | 104 | 12.10 ± 1.29 | 
| 3 | 104 | 11.19 ± 1.15 | 
| 4 | 104 | 10.30 ± 1.09 | 
| 5 | 104 | 9.55 ± 1.09 | 
| 6 | 103 | 8.87 ± 1.12 | 
| 7 | 84 | 8.19 ± 1.30 | 
| 8 | 67 | 7.60 ± 1.32 | 
| 9 | 44 | 7.37 ± 1.16 | 
| 10 | 20 | 7.06 ± 1.88 | 
            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
- URL: https://www.wjgnet.com/1948-9366/full/v15/i4/674.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i4.674

 
         
                         
                 
                 
                 
                 
                 
                         
                         
                        