Surgical outcome of autologous external iliac vein grafting in cases of hepato-pancreato-biliary malignancy: how I do it.
BACKGROUND
Operative indications and surgical outcomes of an autologous graft usage for hepato-pancreato-biliary malignancy have not been adequately investigated. Sixty consecutive patients who underwent sleeve resection of the portal vein (PVR, n = 45) or hepatic vein (HVR, n = 15) and right external iliac vein (REIV) graft reconstruction were reviewed.


RESULTS
Median graft length and reconstruction time were 3 cm (range, 2-7 cm) and 25 min (range, 16-40 min), respectively. Overall morbidity and surgical mortality were acceptable at 48 % and 1.6 %. Postoperative graft obstructions were seen in one patient with PVR and two patients with HVR; however, these patients did not suffer from the life-threatening complications.


CONCLUSIONS
REIV graft reconstruction shows acceptable morbidity and mortality. Our strategy may extend the operative indications for advanced disease and impaired liver function.
Department of Surgery, Ogaki Municipal Hospital, Ogaki, Japan. y-kaneoka@omh.ogaki.gifu.jp
Yuji
Y
Kaneoka
Atsuyuki
A
Maeda
Masatoshi
M
Isogai
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001661:Biliary Tract Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006503:Hepatic Veins / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007084:Iliac Vein / Q000637:transplantation*; D053208:Kaplan-Meier Estimate; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011169:Portal Vein / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D015996:Survival Rate; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000379:methods* / Q000401:mortality