title: Gastric venous reconstruction after radical pancreatic surgery: case report and review of the literature.
abstract: Vascular resection during surgery for adenocarcinoma of the pancreas is being performed with increasing frequency in order to achieve an R0 resection. With increasingly radical operations come challenges for reconstruction. Generally, these are related to reconstruction of the portal vein; this is particularly true of long-segment vein involvement by the tumor, in which venous outflow from dependent organs can become compromised. We report the first case of left gastric vein to inferior mesenteric vein bypass during a radical total pancreatectomy with long-segment portal vein resection for pancreatic adenocarcinoma, performed to relieve severe gastric venous congestion.
authors.affiliation: Division of General Surgery, University of Toronto, Toronto, Canada. csandrou@hotmail.com
authors.forename: Charbel
authors.initials: C
authors.lastname: Sandroussi
authors.forename: Ian D
authors.initials: ID
authors.lastname: McGilvray
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000328:Adult; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011169:Portal Vein / Q000601:surgery; D013270:Stomach / Q000098:blood supply*; D019043:Vascular Neoplasms / Q000556:secondary / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*; D014680:Veins / Q000601:surgery*
references.citation: Eur J Surg. 1994 Dec;160(12):675-80
references.pmid: 7888468
references.citation: Transplant Proc. 2002 Jun;34(4):1216-7
references.pmid: 12072319
references.citation: Liver. 1981 Dec;1(4):255-63
references.pmid: 7348759
references.citation: Pediatr Transplant. 2009 Aug;13(5):540-4
references.pmid: 19210267
references.citation: Ann Surg Oncol. 2009 Jul;16(7):1736-44
references.pmid: 19387741
references.citation: J Vasc Surg. 1984 Mar;1(2):254-60
references.pmid: 6090715
references.citation: J Gastrointest Surg. 2005 Jul-Aug;9(6):846-52
references.pmid: 15985243
references.citation: Surg Gynecol Obstet. 1960 Sep;111:378-9
references.pmid: 13808480
references.citation: J Gastrointest Surg. 1999 May-Jun;3(3):233-43
references.pmid: 10481116
references.citation: J Pediatr Surg. 2007 Jun;42(6):1137-40
references.pmid: 17560237
references.citation: Ann Surg Oncol. 2009 Apr;16(4):789-91
references.pmid: 19169752
references.citation: Br J Surg. 1970 Nov;57(11):856
references.pmid: 5482294