Centrifugal pump-assisted venous bypass between the superior mesenteric vein and the umbilical vein during portal vein resection

Surgery Today ◽  
1996 ◽  
Vol 26 (9) ◽  
pp. 762-764 ◽  
Author(s):  
Yoshikazu Kuroda ◽  
Yasuki Tanioka ◽  
Yonson Ku ◽  
Takumi Fukumoto ◽  
Masahiro Tominaga ◽  
...  
Keyword(s):  
Portal Vein ◽  
Centrifugal Pump ◽  
Superior Mesenteric Vein ◽  
Umbilical Vein ◽  
Portal Vein Resection ◽  
Venous Bypass ◽  
Mesenteric Vein ◽  
Vein Resection

Pancreatectomy Combined with Superior Mesenteric Vein–Portal Vein Resection for Pancreatic Cancer: A Meta-analysis

2012 ◽  
Vol 36 (4) ◽  
pp. 884-891 ◽  
Author(s):  
Yanming Zhou ◽  
Zhiming Zhang ◽  
Yujian Liu ◽  
Bin Li ◽  
Donghui Xu
Keyword(s):  
Pancreatic Cancer ◽  
Portal Vein ◽  
Superior Mesenteric Vein ◽  
Meta Analysis ◽  
Portal Vein Resection ◽  
Mesenteric Vein ◽  
Vein Resection

scholarly journals Pancreaticoduodenectomy for ductal adenocarcinoma of the pancreatic head with venous resection

2016 ◽  
Vol 50 (3) ◽  
pp. 321-328 ◽  
Author(s):  
Vojko Flis ◽  
Stojan Potrc ◽  
Nina Kobilica ◽  
Arpad Ivanecz
Keyword(s):  
Portal Vein ◽  
Superior Mesenteric Vein ◽  
Splenic Vein ◽  
Vascular Resection ◽  
Synthetic Graft ◽  
En Bloc ◽  
Venous Reconstruction ◽  
Interposition Graft ◽  
Mesenteric Vein ◽  
Vein Resection

Abstract Background Recent reports have shown that patients with vascular tumour invasion who undergo concurrent vascular resection can achieve long-term survival rates equivalent to those without vascular involvement requiring pancreaticoduodenectomy alone. There is no consensus about which patients benefit from the portal-superior mesenteric vein resection and there is no consensus about the best surgical technique of vessel reconstruction (resection with or without graft reconstruction). As published series are small the aim of this study was to evaluate our experience in pancreatectomies with en bloc vascular resection and reconstruction of vessels. Methods Review of database at University Clinical Centre Maribor identified 133 patients (average age 65.4 ± 8.6 years, 69 female patients) who underwent pancreatoduodenectomy between January 2006 and August 2014. Clinical data, operative results, pathological findings and postoperative outcomes were collected prospectively and analyzed. Current literature and our experience in pancreatectomies with en bloc vascular resection and reconstruction of portal vein are reviewed. Results Twenty-two patients out of 133 (16.5%) had portal vein-superior mesenteric vein resection and portal vein reconstruction (PVR) during pancreaticoduodenectomy. In fourteen patients portal vein was reconstructed without the use of synthetic vascular graft. In these series two types of venous reconstruction were performed. When tumour involvement was limited to the superior mesenteric vein (SPV) or portal vein (PV) such that the splenic vein could be preserved, and vessels could be approximated without tension a primary end-to-end anastomosis was performed. When tumour involved the SMV-splenic vein confluence, splenic vein ligation was necessary. In the remaining eight procedures interposition graft was needed. Dacron grafts with 10 mm diameter were used. There was no infection after dacron grafting. One patient had portal vein thrombosis after surgery: it was thrombosis after primary reconstruction. There were no thromboses in patients with synthetic graft interposition. There were no significant differences in postoperative morbidity, mortality or grades of complication between groups of patients with or without a PVR. Median survival time in months was in a group with vein resection 16.13 months and in a group without vein resection 15.17 months. Five year survival in the group without vein resection was 19.5%. Comparison of survival curves showed equal hazard rates with log-rank p = 0.090. Conclusions Survival of patients with pancreatic cancer who undergo an R0 resection with reconstruction was comparable to those who have a standard pancreaticoduodenectomy with no added mortality or morbidity. Synthetic graft appeared to be an effective and safe option as an interposition graft for portomesenteric venous reconstruction after pancreaticoduodenectomy.

scholarly journals Portal vein/superior mesenteric vein resection in pancreatic cancer treatment in the elderly

Medicine ◽  
2017 ◽  
Vol 96 (27) ◽  
pp. e7335 ◽  
Author(s):  
Jiong-Ze Fang ◽  
Cai-De Lu ◽  
Sheng-Dong Wu ◽  
Jing Huang ◽  
Jie Zhou
Keyword(s):  
Pancreatic Cancer ◽  
Portal Vein ◽  
Cancer Treatment ◽  
Superior Mesenteric Vein ◽  
The Elderly ◽  
Mesenteric Vein ◽  
Vein Resection

scholarly journals Extended Venous Resections for Borderline Resectable Pancreatic Head Adenocarcinoma—A Retrospective Studies of Nine Cases

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 978
Author(s):  
Nicolae Bacalbasa ◽  
Irina Balescu ◽  
Mihai Dimitriu ◽  
Cristian Balalau ◽  
Florentina Furtunescu ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Portal Vein ◽  
Radical Surgery ◽  
Portal Vein Resection ◽  
Resectable Pancreatic Cancer ◽  
Borderline Resectable ◽  
Venous Resection ◽  
Graft Thrombosis ◽  
Borderline Resectable Pancreatic Cancer ◽  
Vein Resection

Background: pancreatic cancer is one of the most lethal malignancies and a leading cause of cancer-related death worldwide. The only chance to improve the long-term outcomes of patients with pancreatic cancer is surgery with radical intent. Methods: in the present paper, we aim to describe a case series of 9 patients submitted to radical surgery for borderline resectable pancreatic cancer. Results: in all cases, negative resection margins were achieved. The types of venous resection consisted of tangential portal vein resection in four cases, circumferential portal vein resection with direct reanastomosis in one case and circumferential resection with graft placement in another four cases; postoperatively, one patient developed a vascular surgery-related complication consisting of graft thrombosis and thus necessitated prolonged anticoagulant therapy. Conclusions: extended venous resections can be a safe and efficient way to maximize the benefits of radical surgery in locally advanced, borderline resectable pancreatic cancer.

Meta-analysis and cost effective analysis of portal-superior mesenteric vein resection during pancreatoduodenectomy: Impact on margin status and survival

2017 ◽  
Vol 26 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Richard Bell ◽  
Braden Te Ao ◽  
Natasha Ironside ◽  
Adam Bartlett ◽  
John A. Windsor ◽  
...  
Keyword(s):  
Superior Mesenteric Vein ◽  
Meta Analysis ◽  
Cost Effective ◽  
Margin Status ◽  
Mesenteric Vein ◽  
Vein Resection ◽  
Effective Analysis
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