Evidence map›Paper›PMID 42353909›Full record

ArticleChildren (Basel, Switzerland)2026

An Imaging-Based LIE Classification for Risk Stratification of Resectability in Pediatric Abdominal Lymphatic Malformations.

Suhyeon Ha, Dae Yeon Kim, Yu Jeong Cho, So Hyun Nam, Eunyoung Jung, Min Jeong Cho, Ju Yeon Lee

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Article in Children (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Suhyeon HaDepartment of Pediatric Surgery, Asan Medical Center, Children's Hospital, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea.ORCID 0000-0001-8234-4170
Dae Yeon KimDepartment of Pediatric Surgery, Asan Medical Center, Children's Hospital, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea.
Yu Jeong ChoDepartment of Surgery, Hanyang University Guri Hospital, Hanyang University School of Medicine, Guri 11923, Republic of Korea.
So Hyun NamDepartment of Surgery, Inje University Busan Paik Hospital, Busan 47392, Republic of Korea.ORCID 0000-0003-3757-4684
Eunyoung JungDepartment of Pediatric Surgery, Keimyung University Dongsan Hospital, Daegu 42601, Republic of Korea.
Min Jeong ChoDepartment of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, Republic of Korea.
Ju Yeon LeeDivision of Pediatric Surgery, Department of Surgery, Chonnam National University Hospital, Gwangju 61469, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAbdominal lymphatic malformations (ALM) in children are rare vascular anomalies with heterogeneous presentation and challenging operative anatomy. Existing classification systems are largely descriptive and provide limited guidance for predicting resectability. We developed the LIE scoring system, an imaging-based classification incorporating Location, Intestinal involvement, and Extent, to enable structured preoperative risk stratification. MATERIALS AND

methodsWe performed a retrospective, multicenter cohort study of pediatric patients with ALM treated at eight tertiary referral centers between 2010 and 2024. Lesions were assigned LIE scores based on preoperative imaging. Scores ranged from 0 to 5, with greater weight assigned to diffuse disease. Patients were categorized as resectable (0-2), limited resectable (3), or high risk (≥4). We performed multivariable logistic regression and receiver operating characteristic (ROC) analyses.

resultsFifty-nine patients were included. Complete resection rates decreased with increasing score (85.7%, 66.7%, and 25%;

conclusionsThe LIE scoring system provides a clinically applicable framework for preoperative risk stratification in pediatric ALM. Despite modest predictive performance, it reflects operative complexity and may support surgical planning and patient counseling.

Indexed as

abdominal lymphatic malformationchildrenmagnetic resonance imagingpediatric surgeryrisk stratificationsurgical resectability

Identifiers

PMID42353909
PMCPMC13297694

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.