title: [Role of pancreatic hilar vascular occlusion in sophisticated pancreaticoduodenectomy].
abstract: OBJECTIVE
  To discuss the value of a simple occlusive technique of the triple vessels, ie, portal vein, superior mesenteric vessels and splenic vein, in complicated pancreaticoduodenectomy.
  
  
  METHODS
  The technique was fulfilled with a No.8 urethral catheter to encycle the portal vein, superior mesenteric vessels and its near tissue plus pancreatic tail and splenic vein than the neck of pancreas was transected and well exposure superior mesenteric vein and complete transaction of uncinate. From November 2005 to November 2006 the technique was applied to 12 cases of pancreatic malignancy which presented very infiltrated and adhesive to the hilar vascular structure.
  
  
  RESULTS
  The 12 cases were accomplished according with this technique. The operating time was (292.4 +/- 36.3) min (270 - 390 min) and the intraoperative blood loss was (833.3 +/- 618.4) ml (300 - 2500 ml). The postoperative complication included one case of lymphatic leakage, two cases of pneumonia, one case of abdominal infection and two cases of wound infection. There was no perioperative mortality. The postoperative hospital stay was 17 d (11 - 29 d).
  
  
  CONCLUSIONS
  Use this triple vessels occlusive technique can improve the safety and feasibility in complicated cases of pancreaticoduodenectomy.
authors.affiliation: Department of General Surgery, Sir Run Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou 310016, China.
authors.forename: Shu-you
authors.initials: SY
authors.lastname: Peng
authors.forename: De-fei
authors.initials: DF
authors.lastname: Hong
authors.forename: Bin
authors.initials: B
authors.lastname: Xu
authors.forename: Li-feng
authors.initials: LF
authors.lastname: Yan
authors.forename: Jian-wei
authors.initials: JW
authors.lastname: Wang
authors.forename: Ying-bin
authors.initials: YB
authors.lastname: Liu
authors.forename: Jiang-tao
authors.initials: JT
authors.lastname: Li
authors.forename: Hao-ran
authors.initials: HR
authors.lastname: Qian
authors.forename: Yi-ping
authors.initials: YP
authors.lastname: Mou
authors.forename: Xiu-jun
authors.initials: XJ
authors.lastname: Cai
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000503:physiopathology; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010179:Pancreas / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011169:Portal Vein / Q000503:physiopathology; D013162:Splenic Vein / Q000503:physiopathology; D016896:Treatment Outcome