Document Detail

Reconstruction of hepatic or portal veins by use of newly customized great saphenous vein grafts.
MedLine Citation:
PMID:  15004752     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND AIMS: Segmental resection of major hepatic veins or the portal vein is sometimes required if one is to secure adequate surgical margins from hepatic or pancreatic malignancies. An external iliac vein is widely sacrificed as a vein graft to replace the defect, but this is associated with postoperative edema of the lower leg. We developed a new method for constructing the great saphenous vein to interpose the hepatic or portal veins. PATIENTS AND METHODS: The great saphenous vein was divided transversely into three sections, which were aligned side-to-side. The three pieces were anastomosed to make a sheet 3 x 2 cm, which was rolled up into a cylindrical form of approximately 1 cm in diameter and 2 cm in length. We applied the finished vein grafts to interpose the major hepatic veins in three patients with metastatic liver tumors and the portal vein in two patients with pancreatic malignancies in cylindrical form and to reconstruct the portal vein in one patient with a pancreas cancer, using a three-row sheet as a patch graft. RESULTS: No patient developed venous thrombosis of the graft or edema of the lower leg. CONCLUSIONS: The newly customized vein graft was safe and useful for the reconstruction of the major hepatic or portal veins.
Yoshihiro Sakamoto; Junji Yamamoto; Akio Saiura; Rintaro Koga; Norihiro Kokudo; Tomoo Kosuge; Toshiharu Yamaguchi; Tetsuichiro Muto; Masatoshi Makuuchi
Publication Detail:
Type:  Journal Article     Date:  2004-03-03
Journal Detail:
Title:  Langenbeck's archives of surgery / Deutsche Gesellschaft für Chirurgie     Volume:  389     ISSN:  1435-2443     ISO Abbreviation:  Langenbecks Arch Surg     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-03-26     Completed Date:  2004-08-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9808285     Medline TA:  Langenbecks Arch Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  110-3     Citation Subset:  IM    
Department of Gastrointestinal Surgery, Cancer Institute Hospital, 1-37-1 Kami-Ikebukuro, Toshima-ku, 170-8455 Tokyo, Japan.
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MeSH Terms
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / methods*
Hepatic Veins / pathology,  surgery
Liver Neoplasms / pathology,  surgery*
Middle Aged
Neoplasm Invasiveness
Pancreatic Neoplasms / pathology,  surgery*
Portal Vein / pathology,  surgery
Saphenous Vein / surgery,  transplantation*
Vascular Neoplasms / pathology,  secondary*

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