BACKGROUND: Post-hepatectomy liver failure (PHLF) after liver resection is one of the main complications causing postoperative death in patients with hepatocellular carcinoma (HCC). It is crucial to help clinicians identify potential high-risk PHLF patients as early as possible through preoperative evaluation. AIM: To identify risk factors for PHLF and develop a prediction model. METHODS: This study included 248 patients with HCC at The Second Affiliated Hospital of Air Force Medical University between January 2014 and December 2023
these patients were divided into a training group ( RESULTS: In this study, portal vein width [odds ratio (OR) = 1.603, 95%CI: 1.288-1.994, CONCLUSION: A new Nomogram model for predicting PHLF in HCC patients was successfully established based on portal vein width, the NLR, and the ALBI score, which outperforms the traditional model.