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Spiral Saphenous Vein Graft for Portal Vein Reconstruction in Pancreatic Cancer Surgery

2007; SAGE Publishing; Volume: 41; Issue: 2 Linguagem: Inglês

10.1177/1538574406297259

1938-9116

Kuan‐Ming Chiu, Shu‐Hsun Chu, Jer‐Shen Chen, Shao‐Jung Li, Chih‐Yang Chan, Kuo-Shin Chen,

Renal cell carcinoma treatment

The curative strategy for most pancreatic cancer is surgical resection. Extensive resection with lymph node dissection is the key to providing long-term survival. However, early diagnosis of pancreatic cancer is not always possible (ie, resectability is limited). One reason for such a nonresectable condition is vascular invasion or encasement. Portal vein involvement has been a contraindication for pancreatic cancer surgery for most general surgeons. Combining oncologic and vascular surgeons in the procedure has been a good solution. A multidisciplinary approach that includes general and vascular surgeons is appropriate in selected patients requiring vascular reconstruction at the time of pancreatectomy. The objective of this paper is to report a case in which spiral saphenous vein was used for portal vein reconstruction during pancreatic cancer resection.