Long mesentericoportal vein resection and end-to-end anastomosis without graft in pancreaticoduodenectomy.
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.
Zhang
Ji
J
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.
Qian
Hong-Gang
HG
Leng
Jia-Hua
JH
Cui
Ming
M
Qiu
Hui
H
Zhou
Guo-Quan
GQ
Wu
Jian-Hui
JH
Yang
Yong
Y
Hao
Chun-Yi
CY
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*