Portal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary–pancreatic cancer
Abstract Background Advanced hepatobiliary–pancreatic cancer often invades critical blood vessels, including the portal vein (PV) and hepatic artery. Resection with tumor-free resection margins is crucial to achieving a favorable prognosis in these patients. Herein, we present our cases and surgical...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Japan Surgical Society
2024-01-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-024-01823-y |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850054137839878144 |
|---|---|
| author | Tadafumi Asaoka Kenta Furukawa Manabu Mikamori Satoshi Hyuga Tomofumi Ohashi Iwamoto Kazuya Yujiro Nakahara Atsushi Naito Hidekazu Takahashi Jeongho Moon Mitsunobu Imasato Chu Matsuda Kazuhiro Nishikawa Tsunekazu Mizushima |
| author_facet | Tadafumi Asaoka Kenta Furukawa Manabu Mikamori Satoshi Hyuga Tomofumi Ohashi Iwamoto Kazuya Yujiro Nakahara Atsushi Naito Hidekazu Takahashi Jeongho Moon Mitsunobu Imasato Chu Matsuda Kazuhiro Nishikawa Tsunekazu Mizushima |
| author_sort | Tadafumi Asaoka |
| collection | DOAJ |
| description | Abstract Background Advanced hepatobiliary–pancreatic cancer often invades critical blood vessels, including the portal vein (PV) and hepatic artery. Resection with tumor-free resection margins is crucial to achieving a favorable prognosis in these patients. Herein, we present our cases and surgical techniques for PV wedge resection with patch venoplasty using autologous vein grafts during surgery for pancreatic ductal adenocarcinoma (PDAC) and perihilar cholangiocarcinoma (PhCC). Case presentation Case 1: 73-year-old female patient with PDAC; underwent subtotal stomach-preserving pancreatoduodenectomy, with superior mesenteric vein wedge resection and venoplasty with the right gonadal vein. Case 2: 67-year-old male patient with PDAC; underwent distal pancreatectomy and celiac axis resection, with PV wedge resection and venoplasty with the middle colic vein. Case 3: 51-year-old female patient with type IV PhCC; underwent left hepatectomy with caudate lobectomy and bile duct resection, with hilar PV wedge resection and venoplasty with the inferior mesenteric vein (IMV). Case 4: 69-year-old male patient with type IIIA PhCC; underwent right hepatopancreatoduodenectomy, with hilar PV resection and patch venoplasty with the IMV. All patients survived for over 12 months after the surgery, without local recurrence. Conclusions PV wedge resection and patch venoplasty is a useful technique for obtaining tumor-free margins in surgeries for hepatobiliary–pancreatic cancer. |
| format | Article |
| id | doaj-art-80abd707cd274657be1b0f85ac1e2893 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-80abd707cd274657be1b0f85ac1e28932025-08-20T02:52:20ZengJapan Surgical SocietySurgical Case Reports2198-77932024-01-0110111010.1186/s40792-024-01823-yPortal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary–pancreatic cancerTadafumi Asaoka0Kenta Furukawa1Manabu Mikamori2Satoshi Hyuga3Tomofumi Ohashi4Iwamoto Kazuya5Yujiro Nakahara6Atsushi Naito7Hidekazu Takahashi8Jeongho Moon9Mitsunobu Imasato10Chu Matsuda11Kazuhiro Nishikawa12Tsunekazu Mizushima13Department of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalDepartment of Gastroenterological Surgery, Osaka Police HospitalAbstract Background Advanced hepatobiliary–pancreatic cancer often invades critical blood vessels, including the portal vein (PV) and hepatic artery. Resection with tumor-free resection margins is crucial to achieving a favorable prognosis in these patients. Herein, we present our cases and surgical techniques for PV wedge resection with patch venoplasty using autologous vein grafts during surgery for pancreatic ductal adenocarcinoma (PDAC) and perihilar cholangiocarcinoma (PhCC). Case presentation Case 1: 73-year-old female patient with PDAC; underwent subtotal stomach-preserving pancreatoduodenectomy, with superior mesenteric vein wedge resection and venoplasty with the right gonadal vein. Case 2: 67-year-old male patient with PDAC; underwent distal pancreatectomy and celiac axis resection, with PV wedge resection and venoplasty with the middle colic vein. Case 3: 51-year-old female patient with type IV PhCC; underwent left hepatectomy with caudate lobectomy and bile duct resection, with hilar PV wedge resection and venoplasty with the inferior mesenteric vein (IMV). Case 4: 69-year-old male patient with type IIIA PhCC; underwent right hepatopancreatoduodenectomy, with hilar PV resection and patch venoplasty with the IMV. All patients survived for over 12 months after the surgery, without local recurrence. Conclusions PV wedge resection and patch venoplasty is a useful technique for obtaining tumor-free margins in surgeries for hepatobiliary–pancreatic cancer.https://doi.org/10.1186/s40792-024-01823-yPerihilar cholangiocarcinomaAutologous graftPortal vein reconstruction |
| spellingShingle | Tadafumi Asaoka Kenta Furukawa Manabu Mikamori Satoshi Hyuga Tomofumi Ohashi Iwamoto Kazuya Yujiro Nakahara Atsushi Naito Hidekazu Takahashi Jeongho Moon Mitsunobu Imasato Chu Matsuda Kazuhiro Nishikawa Tsunekazu Mizushima Portal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary–pancreatic cancer Surgical Case Reports Perihilar cholangiocarcinoma Autologous graft Portal vein reconstruction |
| title | Portal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary–pancreatic cancer |
| title_full | Portal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary–pancreatic cancer |
| title_fullStr | Portal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary–pancreatic cancer |
| title_full_unstemmed | Portal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary–pancreatic cancer |
| title_short | Portal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary–pancreatic cancer |
| title_sort | portal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary pancreatic cancer |
| topic | Perihilar cholangiocarcinoma Autologous graft Portal vein reconstruction |
| url | https://doi.org/10.1186/s40792-024-01823-y |
| work_keys_str_mv | AT tadafumiasaoka portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT kentafurukawa portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT manabumikamori portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT satoshihyuga portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT tomofumiohashi portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT iwamotokazuya portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT yujironakahara portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT atsushinaito portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT hidekazutakahashi portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT jeonghomoon portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT mitsunobuimasato portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT chumatsuda portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT kazuhironishikawa portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer AT tsunekazumizushima portalveinwedgeresectionandpatchvenoplastywithautologousveingraftsforhepatobiliarypancreaticcancer |