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Publication Name World Journal of Gastroenterology
Manuscript ID 114370
Country China
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Study
Article Title Interpretable machine learning model for early complication prediction after split liver transplantation
Manuscript Source Unsolicited Manuscript
All Author List Di Wang, Jun-Yan Zhang, Yan Xie, Kun-Ning Zhang and Wen-Tao Jiang
Funding Agency and Grant Number
Funding Agency Grant Number
Tianjin Key Medical Discipline Construction Project TJYXZDXK-3-006A
Tianjin Municipal Health Commission General Fund Project TJWJ2024MS017
Key Project of Tianjin Science and Technology Bureau Applied Basic Research 23JCZDJC01200
The Independent Research Fund of the Institute of Transplant Medicine at Nankai University NKTM2023004
The General Project of the China Medicine Education Association ZJWYH-2023-YIZHI-028
General Project of Scientific Research Plan of Tianjin Municipal Education Commission 2024ZX013
Corresponding Author Wen-Tao Jiang, Chief Physician, Dean, Full Professor, Department of Liver Transplantation, First Central Hospital of Tianjin Medical University, No. 2 Baoshan West Road, Xiqing District, Tianjin 300380, China. jiangwentao@nankai.edu.cn
Key Words Early postoperative complications; Machine learning; Partial lobectomy of segment IV; Split liver transplantation; Systemic immune-inflammation index
Core Tip This study employed an interpretable machine learning framework to assess risk factors for early postoperative complications in adult recipients of right tri-segment split liver transplantation. We identified systemic immune-inflammation index, model for end-stage liver disease score, intraoperative blood loss, and partial lobectomy of segment IV as independent predictors. A nomogram incorporating these variables demonstrated robust predictive accuracy. These findings highlight the clinical utility of integrating inflammatory status, surgical factors, and intraoperative variables for individualized perioperative management in split liver transplantation.
Citation Wang D, Zhang JY, Xie Y, Zhang KN, Jiang WT. Interpretable machine learning model for early complication prediction after split liver transplantation. World J Gastroenterol 2025; In press
Received
2025-09-22 06:59
Peer-Review Started
2025-09-22 06:59
To Make the First Decision
Return for Revision
2025-09-29 09:19
Revised
2025-10-07 13:52
Second Decision
2025-11-04 02:33
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-11-04 09:16
Articles in Press
2025-11-04 09:16
Publication Fee Transferred
2025-10-13 04:22
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1007-9327 (print) and 2219-2840 (online)
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: http://creativecommons.org/Licenses/by-nc/4.0/
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