A Case of Preserved Blood Flow to the Portal Vein Due to the Concurrent Reconstruction of the Superior Mesenteric Vein and the Splenic Vein Using an Artificial Blood Vessel

Pancreatic cancer is often advanced and invades the major blood vessels around the pancreas. Portal vein (PV) and/or superior mesenteric vein (SMV) resection is performed for radical resection. In such cases, end-to-end anastomosis is best if the remnant vein is sufficiently long. However, when the...

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Autores principales: Takeuchi, Masahiro, Onoda, Masahiko, Iwamura, Michinori, Inokuchi, Toshihiro, Kawano, Kazuaki, Katoh, Tomoe, Furutani, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9747255/
https://www.ncbi.nlm.nih.gov/pubmed/36523740
http://dx.doi.org/10.7759/cureus.31457
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author Takeuchi, Masahiro
Onoda, Masahiko
Iwamura, Michinori
Inokuchi, Toshihiro
Kawano, Kazuaki
Katoh, Tomoe
Furutani, Akira
author_facet Takeuchi, Masahiro
Onoda, Masahiko
Iwamura, Michinori
Inokuchi, Toshihiro
Kawano, Kazuaki
Katoh, Tomoe
Furutani, Akira
author_sort Takeuchi, Masahiro
collection PubMed
description Pancreatic cancer is often advanced and invades the major blood vessels around the pancreas. Portal vein (PV) and/or superior mesenteric vein (SMV) resection is performed for radical resection. In such cases, end-to-end anastomosis is best if the remnant vein is sufficiently long. However, when the excision distance is long, reconstruction requires an artificial blood vessel. In contrast, there is no consensus concerning the need for splenic vein (SV) reconstruction. We herein report a case in which portal vein thrombus and congestion of the bowel that occurred after PV-SMV reconstruction were improved by additional anastomosis of the PV-SV.
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spelling pubmed-97472552022-12-14 A Case of Preserved Blood Flow to the Portal Vein Due to the Concurrent Reconstruction of the Superior Mesenteric Vein and the Splenic Vein Using an Artificial Blood Vessel Takeuchi, Masahiro Onoda, Masahiko Iwamura, Michinori Inokuchi, Toshihiro Kawano, Kazuaki Katoh, Tomoe Furutani, Akira Cureus Cardiac/Thoracic/Vascular Surgery Pancreatic cancer is often advanced and invades the major blood vessels around the pancreas. Portal vein (PV) and/or superior mesenteric vein (SMV) resection is performed for radical resection. In such cases, end-to-end anastomosis is best if the remnant vein is sufficiently long. However, when the excision distance is long, reconstruction requires an artificial blood vessel. In contrast, there is no consensus concerning the need for splenic vein (SV) reconstruction. We herein report a case in which portal vein thrombus and congestion of the bowel that occurred after PV-SMV reconstruction were improved by additional anastomosis of the PV-SV. Cureus 2022-11-13 /pmc/articles/PMC9747255/ /pubmed/36523740 http://dx.doi.org/10.7759/cureus.31457 Text en Copyright © 2022, Takeuchi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Takeuchi, Masahiro
Onoda, Masahiko
Iwamura, Michinori
Inokuchi, Toshihiro
Kawano, Kazuaki
Katoh, Tomoe
Furutani, Akira
A Case of Preserved Blood Flow to the Portal Vein Due to the Concurrent Reconstruction of the Superior Mesenteric Vein and the Splenic Vein Using an Artificial Blood Vessel
title A Case of Preserved Blood Flow to the Portal Vein Due to the Concurrent Reconstruction of the Superior Mesenteric Vein and the Splenic Vein Using an Artificial Blood Vessel
title_full A Case of Preserved Blood Flow to the Portal Vein Due to the Concurrent Reconstruction of the Superior Mesenteric Vein and the Splenic Vein Using an Artificial Blood Vessel
title_fullStr A Case of Preserved Blood Flow to the Portal Vein Due to the Concurrent Reconstruction of the Superior Mesenteric Vein and the Splenic Vein Using an Artificial Blood Vessel
title_full_unstemmed A Case of Preserved Blood Flow to the Portal Vein Due to the Concurrent Reconstruction of the Superior Mesenteric Vein and the Splenic Vein Using an Artificial Blood Vessel
title_short A Case of Preserved Blood Flow to the Portal Vein Due to the Concurrent Reconstruction of the Superior Mesenteric Vein and the Splenic Vein Using an Artificial Blood Vessel
title_sort case of preserved blood flow to the portal vein due to the concurrent reconstruction of the superior mesenteric vein and the splenic vein using an artificial blood vessel
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9747255/
https://www.ncbi.nlm.nih.gov/pubmed/36523740
http://dx.doi.org/10.7759/cureus.31457
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