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


METHODS
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.
Yoshimi
Fuyo
F
Department of Surgery, Ibaraki Prefectural Central Hospital and Cancer Center, 6528 Koibuchi, Tomobe-machi, Ibaraki 309-1793, Japan. dryoshimi@hkg.odn.ne.jp
Asato
Yuji
Y
Tanaka
Ryota
R
Nemoto
Kazunari
K
Shioyama
Yasukazu
Y
Onaya
Hiroaki
H
Yamada
Koji
K
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008642:Mesenteric Veins / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010690:Phlebography; D011169:Portal Vein / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis; D012189:Retrospective Studies; D013162:Splenic Vein / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014680:Veins / Q000637:transplantation