Techniques of Oncovascular Reconstruction of Portal and Mesenteric Veins during Pancreatic and Hepatobiliary Surgery
Major vessel invasion, particularly involving the portal and superior mesenteric veins, poses significant challenges during the radical resection of hepatobiliary and pancreatic cancers. Oncovascular surgery is essential for curative outcomes, and often requires portomesenteric vein reconstruction....
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medrang
2024-12-01
|
| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.240073 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846099792081453056 |
|---|---|
| author | Ahram Han Sanghyun Ahn Seung-Kee Min |
| author_facet | Ahram Han Sanghyun Ahn Seung-Kee Min |
| author_sort | Ahram Han |
| collection | DOAJ |
| description | Major vessel invasion, particularly involving the portal and superior mesenteric veins, poses significant challenges during the radical resection of hepatobiliary and pancreatic cancers. Oncovascular surgery is essential for curative outcomes, and often requires portomesenteric vein reconstruction. Techniques, such as lateral venorrhaphy, patch repair, end-to-end anastomosis, and interposition grafting, have been employed. Autogenous veins such as the internal jugular, left renal, external iliac, or femoral veins are options, although not always available. Alternatives include great saphenous vein grafts, other autogenous materials, including the parietal peritoneum, bovine patches and allografts. Despite the higher risks of infection and thrombosis, prosthetic grafts are also considered. Ensuring long-term patency through meticulous surgical techniques is crucial for preventing complications, such as thrombosis and variceal bleeding. |
| format | Article |
| id | doaj-art-42b6e1466b404ea18eeddf72983512d5 |
| institution | Kabale University |
| issn | 2288-7970 2288-7989 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj-art-42b6e1466b404ea18eeddf72983512d52024-12-31T05:13:17ZengMedrangVascular Specialist International2288-79702288-79892024-12-014010.5758/vsi.240073vsi.240073Techniques of Oncovascular Reconstruction of Portal and Mesenteric Veins during Pancreatic and Hepatobiliary SurgeryAhram Han0Sanghyun Ahn1Seung-Kee Min2Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, KoreaDivision of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, KoreaDivision of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, KoreaMajor vessel invasion, particularly involving the portal and superior mesenteric veins, poses significant challenges during the radical resection of hepatobiliary and pancreatic cancers. Oncovascular surgery is essential for curative outcomes, and often requires portomesenteric vein reconstruction. Techniques, such as lateral venorrhaphy, patch repair, end-to-end anastomosis, and interposition grafting, have been employed. Autogenous veins such as the internal jugular, left renal, external iliac, or femoral veins are options, although not always available. Alternatives include great saphenous vein grafts, other autogenous materials, including the parietal peritoneum, bovine patches and allografts. Despite the higher risks of infection and thrombosis, prosthetic grafts are also considered. Ensuring long-term patency through meticulous surgical techniques is crucial for preventing complications, such as thrombosis and variceal bleeding.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.240073oncovascular surgeryvein reconstructionhepatobiliary cancerportal vein |
| spellingShingle | Ahram Han Sanghyun Ahn Seung-Kee Min Techniques of Oncovascular Reconstruction of Portal and Mesenteric Veins during Pancreatic and Hepatobiliary Surgery Vascular Specialist International oncovascular surgery vein reconstruction hepatobiliary cancer portal vein |
| title | Techniques of Oncovascular Reconstruction of Portal and Mesenteric Veins during Pancreatic and Hepatobiliary Surgery |
| title_full | Techniques of Oncovascular Reconstruction of Portal and Mesenteric Veins during Pancreatic and Hepatobiliary Surgery |
| title_fullStr | Techniques of Oncovascular Reconstruction of Portal and Mesenteric Veins during Pancreatic and Hepatobiliary Surgery |
| title_full_unstemmed | Techniques of Oncovascular Reconstruction of Portal and Mesenteric Veins during Pancreatic and Hepatobiliary Surgery |
| title_short | Techniques of Oncovascular Reconstruction of Portal and Mesenteric Veins during Pancreatic and Hepatobiliary Surgery |
| title_sort | techniques of oncovascular reconstruction of portal and mesenteric veins during pancreatic and hepatobiliary surgery |
| topic | oncovascular surgery vein reconstruction hepatobiliary cancer portal vein |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.240073 |
| work_keys_str_mv | AT ahramhan techniquesofoncovascularreconstructionofportalandmesentericveinsduringpancreaticandhepatobiliarysurgery AT sanghyunahn techniquesofoncovascularreconstructionofportalandmesentericveinsduringpancreaticandhepatobiliarysurgery AT seungkeemin techniquesofoncovascularreconstructionofportalandmesentericveinsduringpancreaticandhepatobiliarysurgery |