Spiral saphenous vein graft for portal vein reconstruction in pancreatic cancer surgery.
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.
Chiu
Kuan-Ming
KM
Division of Cardiovascular Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan. kmchius@ yahoo.com.tw
Chu
Shu-Hsun
SH
Chen
Jer-Shen
JS
Li
Shao-Jung
SJ
Chan
Chih-Yang
CY
Chen
Kuo-Shin
KS
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