Digestive Surgery

How I Do It

Portal/Superior Mesenteric Vein Reconstruction during Pancreatic Resection Using a Cryopreserved Arterial Homograft

Mascoli C.b · D''Ambra M.a · Casadei R.a · Ricci C.a · Taffurelli G.a · Ancetti S.b · Stella A.b · Minni F.a · Freyrie A.b

Author affiliations

Departments of aMedical and Surgical Sciences and bExperimental, Diagnostic and Speciality Medicine, Alma Mater Studiorum, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy

Keywords: Pancreatic resectionPancreasPortal veinSuperior mesenteric vein

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Dig Surg 2015;32:284-290
https://doi.org/10.1159/000381194

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Article / Publication Details

First-Page Preview
Abstract of How I Do It

Received: December 01, 2014
Accepted: February 19, 2015
Published online: June 20, 2015
Issue release date: August 2015

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 1

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU

Abstract

Background: Portal-superior mesenteric vein (PV/SMV) resection during pancreatic resection has been widely applied in clinical practice. Methods: From a prospective data base of pancreatic resections, patients undergoing PV/SMV resection and reconstruction with a cryopreserved arterial homograft were extracted with the aim of evaluating the safety, feasibility and reproducibility of the procedure. Data regarding patient demographics, preoperative staging, surgery, histopathology and postoperative outcomes were analyzed. Results: Five patients were extracted in the last year. Indications for this technique were type IV-V degree of vein involvement and a 3.5 cm median length of vein infiltration. Median operative and clamping times were satisfactory (385 and 27 min, respectively), postoperative outcomes were good and there was no graft infection, thrombosis or stenosis occurred postoperatively and during the follow-up period. Conclusion: The use of a cryopreserved arterial homograft for PV/SMV reconstruction after pancreatic resection seems to be a feasible, safe and easily reproducible surgical technique in high-volume specialized centers and can be added to the pool of surgical solutions in selected patients.

© 2015 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of How I Do It

Received: December 01, 2014
Accepted: February 19, 2015
Published online: June 20, 2015
Issue release date: August 2015

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 1

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU

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2015, Vol.32, No. 4

August 2015

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C.M. and M.D. contributed equally to this work.
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