title: Long mesentericoportal vein resection and end-to-end anastomosis without graft in pancreaticoduodenectomy.
abstract: BACKGROUND
  The feasibility and safety of pancreaticoduodenectomy (PD) combined with long segmental mesentericoportal vein (MPV; >5 cm) resection and end-to-end anastomosis without graft has rarely been demonstrated.
  
  
  METHODS
  Eight patients with pancreatic head adenocarcinoma underwent PD combined with long MPV resection between August 2006 and May 2008 in Peking University School of Oncology.
  
  
  RESULTS
  By liver mobilization and Cattell-Braasch maneuver, direct and tension-free end-to-end anastomosis was easily performed even when the resected segment of the MPV was longer than 5 cm. All the eight patients experienced uneventful recovery without severe complications.
  
  
  CONCLUSIONS
  PD with long MPV resection and direct end-to-end anastomoses is safe and effective.
authors.affiliation: Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Hepato-pancreato-biliary Surgery, Peking University School of Oncology, Beijing Cancer Hospital & Institute, #52, Fu-Cheng-Lu Street, 100036, Beijing, China.
authors.forename: Ji
authors.initials: J
authors.lastname: Zhang
authors.forename: Hong-Gang
authors.initials: HG
authors.lastname: Qian
authors.forename: Jia-Hua
authors.initials: JH
authors.lastname: Leng
authors.forename: Ming
authors.initials: M
authors.lastname: Cui
authors.forename: Hui
authors.initials: H
authors.lastname: Qiu
authors.forename: Guo-Quan
authors.initials: GQ
authors.lastname: Zhou
authors.forename: Jian-Hui
authors.initials: JH
authors.lastname: Wu
authors.forename: Yong
authors.initials: Y
authors.lastname: Yang
authors.forename: Chun-Yi
authors.initials: CY
authors.lastname: Hao
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D000714:Anastomosis, Surgical; D001807:Blood Vessel Prosthesis; D000075202:Contraindications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008642:Mesenteric Veins / Q000601:surgery*; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011169:Portal Vein / Q000601:surgery*; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures / Q000379:methods*