Document Detail


Potential use of left renal vein graft in pancreaticoduodenectomy combined with long segmental resection of the superior mesenteric-splenic-portal vein confluence.
MedLine Citation:
PMID:  21546698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Various techniques for reconstruction after superior mesenteric-splenic-portal vein confluence resection during pancreaticoduodenectomy have been introduced. A certain kind of vascular grafting may be necessary especially when long segmental resection of superior mesenteric-splenic-portal vein confluence is required.
CASE REPORT: We herein report the cases of two patients who underwent left renal vein grafting in a pancreaticoduodenectomy with combined resection of the long segment of the superior mesenteric-splenic-portal vein confluence for pancreatic head cancer following neoadjuvant concurrent chemoradiation therapy as well as their long-term outcomes with graft patency without deterioration of renal function.
CONCLUSION: Our experience with these two cases indicates that an autologous interposition graft using the left renal vein may be considered a safe and convenient conduit in the case of long segmental resection of the superior mesenteric-splenic-portal vein confluence during a pancreaticoduodenectomy following preoperative neoadjuvant chemoradiation therapy.
Authors:
Sung Hoon Choi; Ho Kyoung Hwang; Chang Moo Kang; Woo Jung Lee
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-05-06
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  12     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-06     Completed Date:  2011-09-29     Revised Date:  2011-10-18    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  234-40     Citation Subset:  IM    
Affiliation:
Division of Biliopancreas, Department of Surgery, Yonsei University College of Medicine. Seoul, South Korea. cmkang@yuhs.ac
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MeSH Terms
Descriptor/Qualifier:
Aged
Humans
Male
Mesenteric Veins / surgery*
Middle Aged
Pancreatic Neoplasms / radiography,  surgery
Pancreaticoduodenectomy / methods*
Portal Vein / surgery*
Renal Veins / transplantation*
Splenic Vein / surgery*
Tomography, X-Ray Computed
Transplantation, Autologous
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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