Managing unsuspected tumour invasion of the superior mesenteric-portal vein during surgery for pancreatic head cancer. A case report.

نویسندگان

  • Riccardo Casadei
  • Marielda D'Ambra
  • Antonio Freyrie
  • Francesco Monari
  • Vincenzo Alagna
  • Claudio Ricci
  • Francesco Minni
چکیده

CONTEXT In some cases, synchronous superior mesenteric-portal vein resection can be performed during pancreatic resection for cancer. The reconstruction technique is usually primary anastomosis; in only a few cases is an autologous vein graft needed. CASE REPORT We report a case of reconstruction of the superior mesenteric-portal vein with a splenic vein autograft in a patient affected by pancreatic head adenocarcinoma who underwent a total pancreatectomy. CONCLUSIONS The reconstruction of the superior mesenteric-portal vein with a splenic vein autograft should be performed in selected cases. It allows a reduction of operating time, it is a less invasive approach than reconstruction using an internal jugular vein autograft and it can be an oncologically correct approach.

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عنوان ژورنال:
  • JOP : Journal of the pancreas

دوره 10 4  شماره 

صفحات  -

تاریخ انتشار 2009