title: Spiral saphenous vein graft for portal vein reconstruction in pancreatic cancer surgery.
abstract: The curative strategy for most pancreatic cancer is surgical resection. Extensive resection with lymph node dissection is the key to providing long-term survival. However, early diagnosis of pancreatic cancer is not always possible (ie, resectability is limited). One reason for such a nonresectable condition is vascular invasion or encasement. Portal vein involvement has been a contraindication for pancreatic cancer surgery for most general surgeons. Combining oncologic and vascular surgeons in the procedure has been a good solution. A multidisciplinary approach that includes general and vascular surgeons is appropriate in selected patients requiring vascular reconstruction at the time of pancreatectomy. The objective of this paper is to report a case in which spiral saphenous vein was used for portal vein reconstruction during pancreatic cancer resection.
authors.affiliation: Division of Cardiovascular Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan. kmchius@ yahoo.com.tw
authors.forename: Kuan-Ming
authors.initials: KM
authors.lastname: Chiu
authors.forename: Shu-Hsun
authors.initials: SH
authors.lastname: Chu
authors.forename: Jer-Shen
authors.initials: JS
authors.lastname: Chen
authors.forename: Shao-Jung
authors.initials: SJ
authors.lastname: Li
authors.forename: Chih-Yang
authors.initials: CY
authors.lastname: Chan
authors.forename: Kuo-Shin
authors.initials: KS
authors.lastname: Chen
mesh_terms: D000368:Aged; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008642:Mesenteric Veins / Q000473:pathology / Q000601:surgery; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous