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The aim of the study is to develop a nomogram for predicting postoperative portal venous systemic thrombosis (PVST) in patients with cirrhosis undergoing splenectomy and esophagogastric devascularization. Methods. In total, 195 eligible patients were included. Demographic characteristics were collected, and the results of perioperative routine laboratory investigations and ultrasound examinations were also recorded. Blood cell morphological traits, including the red cell volume distribution width (RDW), mean platelet volume, and platelet distribution width, were identified. Univariate and multivariate logistic regressions were implemented for risk factor filtration, and an integrated nomogram was generated and then validated using the bootstrap method. Results. A color Doppler abdominal ultrasound examination on a postoperative day (POD) 7 (38.97%) revealed that 76 patients had PVST. The results of the multivariate logistic regression suggested that a higher RDW on POD3 (RDW3) (odds ratio (OR): 1.188, 95% confidence interval (CI): 1.073\u20131.326), wider portal vein diameter (OR: 1.387, 95% CI: 1.203\u20131.642), history of variceal hemorrhage (OR: 3.407, 95% CI: 1.670\u20137.220), and longer spleen length (OR: 1.015, 95% CI: 1.001\u20131.029) were independent risk parameters for postoperative PVST. Moreover, the nomogram integrating these four parameters exhibited considerable capability in PVST forecasting. The nomogram\u2019s receiver operating characteristic curve reached 0.83 and achieved a sensitivity and specificity of 0.711 and 0.848, respectively, at its cutoff. The nomogram\u2019s calibration curve demonstrated that it was well calibrated. Conclusion. The nomogram exhibited excellent performance in PVST prediction and might assist surgeons in identifying vulnerable patients and administering timely prophylaxis.<\/jats:p>","DOI":"10.1155\/2022\/8084431","type":"journal-article","created":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T18:20:08Z","timestamp":1667586008000},"page":"1-9","source":"Crossref","is-referenced-by-count":1,"title":["Nomogram for Predicting Postoperative Portal Venous Systemic Thrombosis in Patients with Cirrhosis Undergoing Splenectomy and Esophagogastric Devascularization"],"prefix":"10.1155","volume":"2022","author":[{"given":"Miao","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Surgery, The Second Hospital of Nanjing, The Affiliated Hospital of Nanjing University of Chines Medicine, Nanjing 210003, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian-Bo","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Second Hospital of Nanjing, The Affiliated Hospital of Nanjing University of Chines Medicine, Nanjing 210003, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia-Kang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Second Hospital of Nanjing, The Affiliated Hospital of Nanjing University of Chines Medicine, Nanjing 210003, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing-Hua","family":"Shu","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Second Hospital of Nanjing, The Affiliated Hospital of Nanjing University of Chines Medicine, Nanjing 210003, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Feng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Second Hospital of Nanjing, The Affiliated Hospital of Nanjing University of Chines Medicine, Nanjing 210003, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2098-584X","authenticated-orcid":true,"given":"Yong-Xiang","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Second Hospital of Nanjing, The Affiliated Hospital of Nanjing University of Chines Medicine, Nanjing 210003, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v26.i18.2247"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1002\/hep.28906"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-014-0145-y"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-00692-x"},{"key":"5","first-page":"362","article-title":"A comparison between oper-ative devascularization and endoscopic ligation for the treat-ment of bleeding gastroesophageal varices in 623 patients with portal hypertension","volume-title":"Chines Journal of General Surgery","author":"Z. 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