{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:52:29Z","timestamp":1790614349668,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Hemorrhage from the stump of the gastroduodenal artery (GDA) is a significant postoperative risk with pancreaticoduodenectomy (PD). Studies have shown that wrapping the GDA stump using the omentum or the falciform ligament can help prevent bleeding. We aimed to determine whether wrapping the GDA stump with the ligamentum teres hepatis (LTH) would reduce postoperative PD hemorrhage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed data for 148 patients who underwent laparoscopic pancreatoduodenectomy (LPD) at our hospital from November 2015 to September 2021. We compared perioperative data from 63 LPD patients without wrapping of the GDA (unwrapped group) and 85 whose GDA stumps were wrapped (wrapped group).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were no significant differences in the groups\u2019 baseline characteristics. The postoperative GDA stump bleeding incidence was significantly lower in the wrapped group than that in the unwrapped group (7.9% vs. 0, respectively). There was also no significant difference in the incidence of other complications (intra-abdominal infection, postoperative pancreatic fistula (POPF), biliary fistula, and gastrointestinal bleeding).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Using the LTH to wrap the GDA stump during LPD can reduce bleeding from the GDA stump but not the incidence of other complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605231188288","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T07:42:48Z","timestamp":1691394168000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Ligamentum teres hepatis wrapping of the gastroduodenal artery stump for protection in total laparoscopic pancreaticoduodenectomy: a single-center experience"],"prefix":"10.1177","volume":"51","author":[{"given":"Zongdong","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Affiliated Li Huili Hospital, Ningbo University, Ningbo, China"},{"name":"Health Science Center, Ningbo University, , Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2134-1184","authenticated-orcid":false,"given":"Xiang","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Affiliated Li Huili Hospital, Ningbo University, Ningbo, China"},{"name":"Health Science Center, Ningbo University, , Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinhua","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Affiliated Li Huili Hospital, Ningbo University, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodong","family":"Hu","sequence":"additional","affiliation":[{"name":"Health Science Center, Ningbo University, , Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People\u2019s Hospital, Zhejiang University School of Medicine, Hangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenzhe","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Affiliated Li Huili Hospital, Ningbo University, Ningbo, China"},{"name":"Health Science Center, Ningbo University, , Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luoluo","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Affiliated Li Huili Hospital, Ningbo University, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Ruan","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Affiliated Li Huili Hospital, Ningbo University, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeting","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Affiliated Li Huili Hospital, Ningbo University, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Affiliated Li Huili Hospital, Ningbo University, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"key":"bibr1-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4444-y"},{"key":"bibr2-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.325"},{"key":"bibr3-03000605231188288","first-page":"299","volume":"26","author":"Xu C","year":"2014","journal-title":"Chin J Cancer Res"},{"key":"bibr4-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-021-01076-8"},{"key":"bibr5-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.09.008"},{"key":"bibr6-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1111\/j.1477-2574.2010.00260.x"},{"key":"bibr7-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-011-1427-8"},{"key":"bibr8-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1159\/000094754"},{"key":"bibr9-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800760833"},{"key":"bibr10-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.04.005"},{"key":"bibr11-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1991.01410320127019"},{"key":"bibr12-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.143.10.1001"},{"key":"bibr13-03000605231188288","first-page":"104618","volume":"82","author":"Nour HM","year":"2022","journal-title":"Ann Med Surg (Lond)"},{"key":"bibr14-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2005.05.007"},{"key":"bibr15-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2013.05.035"},{"key":"bibr16-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001503"},{"key":"bibr17-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-020-04869-z"},{"key":"bibr18-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0000000000001036"},{"key":"bibr19-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000255588.50964.5d"},{"key":"bibr20-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2015.10.007"},{"key":"bibr21-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2006.11.015"},{"key":"bibr22-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-018-2580-0"},{"key":"bibr23-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2016.08.087"},{"key":"bibr24-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/S1499-3872(15)60372-1"},{"key":"bibr25-03000605231188288","first-page":"37","volume":"109","author":"Welsch T","year":"2021","journal-title":"Br J Surg"},{"key":"bibr26-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2020.05.003"},{"key":"bibr27-03000605231188288","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"bibr28-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2021.12.002"},{"key":"bibr29-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2022.06.030"},{"key":"bibr30-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.05.005"},{"key":"bibr31-03000605231188288","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v10.i26.9276"},{"key":"bibr32-03000605231188288","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.07.023"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605231188288","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605231188288","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605231188288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:48:33Z","timestamp":1777459713000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605231188288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":32,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1177\/03000605231188288"],"URL":"https:\/\/doi.org\/10.1177\/03000605231188288","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8]]},"article-number":"03000605231188288"}}