Pancreaticoduodenectomy and portal-superior mesenteric vein reconstruction using autologous grafts in patients with periampullary cancer: Preliminary experience at Bach Mai Hospital
Portal vein/superior mesenteric vein (PV/SMV) resection and reconstruction during pancreaticoduodenectomy (PD) represent one of the most complex procedures in digestive system surgery. Each technique for portal vein reconstruction has distinct advantages and disadvantages, making the optimal approa...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Vietnam Ministry of Science and Technology
2025-07-01
|
| Series: | Vietnam Journal of Science, Technology and Engineering |
| Subjects: | |
| Online Access: | https://vietnamscience.vjst.vn/index.php/vjste/article/view/1295 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850067564527353856 |
|---|---|
| author | Duong Duc Hung Nguyen Thanh Khiem Nguyen Ham Hoi Luong Tuan Hiep |
| author_facet | Duong Duc Hung Nguyen Thanh Khiem Nguyen Ham Hoi Luong Tuan Hiep |
| author_sort | Duong Duc Hung |
| collection | DOAJ |
| description |
Portal vein/superior mesenteric vein (PV/SMV) resection and reconstruction during pancreaticoduodenectomy (PD) represent one of the most complex procedures in digestive system surgery. Each technique for portal vein reconstruction has distinct advantages and disadvantages, making the optimal approach a subject of ongoing debate. From October 2020 to October 2024, patients with periampullary cancer who underwent PD with PV/SMV resection and reconstruction using autologous grafts were documented. The data collected included basic information, clinical characteristics, surgical details, and post-operative graft conditions. Results indicated that during the study period, eight cases of vein reconstruction using autologous grafts (falciform ligament/segment or an alternative vein) were performed. No cases of early or late graft thrombosis or stenosis were reported. In conclusion, PV/SMV reconstruction using autologous grafts in PD is feasible and enhances the potential for achieving radical surgery in cases of locally invasive duodenalpancreatic head cancer.
|
| format | Article |
| id | doaj-art-8143e6de20b64417b12cf52d63cdc8dd |
| institution | DOAJ |
| issn | 2525-2461 2615-9937 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Vietnam Ministry of Science and Technology |
| record_format | Article |
| series | Vietnam Journal of Science, Technology and Engineering |
| spelling | doaj-art-8143e6de20b64417b12cf52d63cdc8dd2025-08-20T02:48:16ZengVietnam Ministry of Science and TechnologyVietnam Journal of Science, Technology and Engineering2525-24612615-99372025-07-01Pancreaticoduodenectomy and portal-superior mesenteric vein reconstruction using autologous grafts in patients with periampullary cancer: Preliminary experience at Bach Mai HospitalDuong Duc HungNguyen Thanh KhiemNguyen Ham HoiLuong Tuan Hiep Portal vein/superior mesenteric vein (PV/SMV) resection and reconstruction during pancreaticoduodenectomy (PD) represent one of the most complex procedures in digestive system surgery. Each technique for portal vein reconstruction has distinct advantages and disadvantages, making the optimal approach a subject of ongoing debate. From October 2020 to October 2024, patients with periampullary cancer who underwent PD with PV/SMV resection and reconstruction using autologous grafts were documented. The data collected included basic information, clinical characteristics, surgical details, and post-operative graft conditions. Results indicated that during the study period, eight cases of vein reconstruction using autologous grafts (falciform ligament/segment or an alternative vein) were performed. No cases of early or late graft thrombosis or stenosis were reported. In conclusion, PV/SMV reconstruction using autologous grafts in PD is feasible and enhances the potential for achieving radical surgery in cases of locally invasive duodenalpancreatic head cancer. https://vietnamscience.vjst.vn/index.php/vjste/article/view/1295autologous graftcase seriespancreaticoduodenectomyportal vein resection |
| spellingShingle | Duong Duc Hung Nguyen Thanh Khiem Nguyen Ham Hoi Luong Tuan Hiep Pancreaticoduodenectomy and portal-superior mesenteric vein reconstruction using autologous grafts in patients with periampullary cancer: Preliminary experience at Bach Mai Hospital Vietnam Journal of Science, Technology and Engineering autologous graft case series pancreaticoduodenectomy portal vein resection |
| title | Pancreaticoduodenectomy and portal-superior mesenteric vein reconstruction using autologous grafts in patients with periampullary cancer: Preliminary experience at Bach Mai Hospital |
| title_full | Pancreaticoduodenectomy and portal-superior mesenteric vein reconstruction using autologous grafts in patients with periampullary cancer: Preliminary experience at Bach Mai Hospital |
| title_fullStr | Pancreaticoduodenectomy and portal-superior mesenteric vein reconstruction using autologous grafts in patients with periampullary cancer: Preliminary experience at Bach Mai Hospital |
| title_full_unstemmed | Pancreaticoduodenectomy and portal-superior mesenteric vein reconstruction using autologous grafts in patients with periampullary cancer: Preliminary experience at Bach Mai Hospital |
| title_short | Pancreaticoduodenectomy and portal-superior mesenteric vein reconstruction using autologous grafts in patients with periampullary cancer: Preliminary experience at Bach Mai Hospital |
| title_sort | pancreaticoduodenectomy and portal superior mesenteric vein reconstruction using autologous grafts in patients with periampullary cancer preliminary experience at bach mai hospital |
| topic | autologous graft case series pancreaticoduodenectomy portal vein resection |
| url | https://vietnamscience.vjst.vn/index.php/vjste/article/view/1295 |
| work_keys_str_mv | AT duongduchung pancreaticoduodenectomyandportalsuperiormesentericveinreconstructionusingautologousgraftsinpatientswithperiampullarycancerpreliminaryexperienceatbachmaihospital AT nguyenthanhkhiem pancreaticoduodenectomyandportalsuperiormesentericveinreconstructionusingautologousgraftsinpatientswithperiampullarycancerpreliminaryexperienceatbachmaihospital AT nguyenhamhoi pancreaticoduodenectomyandportalsuperiormesentericveinreconstructionusingautologousgraftsinpatientswithperiampullarycancerpreliminaryexperienceatbachmaihospital AT luongtuanhiep pancreaticoduodenectomyandportalsuperiormesentericveinreconstructionusingautologousgraftsinpatientswithperiampullarycancerpreliminaryexperienceatbachmaihospital |