Reconstruction of the portal vein and the splenic vein in pancreaticoduodenectomy for pancreatic cancer.

Abstract

BACKGROUND/AIMS:

We reconstructed the splenic vein besides the portal vein and/or the superior mesenteric vein after resection of the superior mesenteric-portal vein confluence during pancreaticoduodenectomy for carcinoma of the pancreas and the outcome was retrospectively assessed.

METHODOLOGY:

Twenty-five patients were classified into three groups. Group O, the splenic vein was left intact (n = 11), Group I, the splenic vein was anastomosed to another vein (n = 6), and Group II, the splenic vein was reconstructed to another vein through autovein graft interposition (n = 8).

RESULTS:

The patency rate of the superior mesenteric-portal vein anastomosis was 100% in 24 patients evaluated. The blood flow from the splenic vein to the portal vein or another vein was witnessed in 10 patients in Group O, in 3 patients in Group I, and in 7 patients in Group II.

CONCLUSIONS:

The splenic vein could be reconstructed with high postoperative patency rate, especially in those patients, whose splenic vein was reconstructed using autovein interposition graft.

• Authors: Fuyo Yoshimi, Yuji Asato, Ryota Tanaka, Kazunari Nemoto, Yasukazu Shioyama, Hiroaki Onaya, Koji Yamada
• Journal: Hepato-gastroenterology (Hepatogastroenterology) 2003 May-Jun Vol. 50 Issue 51 Pg. 856-60 ISSN: 0172-6390 [Print] Greece
• PMID: 12828104 (Publication Type: Comparative Study, Journal Article)

Topics

• Adenocarcinoma (pathology, surgery)
• Anastomosis, Surgical
• Female
• Humans
• Image Processing, Computer-Assisted
• Imaging, Three-Dimensional
• Male
• Mesenteric Veins (pathology, surgery)
• Middle Aged
• Neoplasm Invasiveness (pathology)
• Pancreatic Neoplasms (surgery)
• Pancreaticoduodenectomy (methods)
• Phlebography
• Portal Vein (pathology, surgery)
• Postoperative Complications (diagnosis)
• Retrospective Studies
• Splenic Vein (pathology, surgery)
• Tomography, X-Ray Computed
• Treatment Outcome
• Veins (transplantation)