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Tips and tricks of surgical technique for pancreatic cancer: portal vein resection and reconstruction (with videos)
Author(s) -
Yoshitomi Hideyuki,
Kato Atsushi,
Shimizu Hiroaki,
Ohtsuka Masayuki,
Furukawa Katsunori,
Takayashiki Tsukasa,
Kuboki Satoshi,
Takano Shigetsugu,
Okamura Daiki,
Suzuki Daisuke,
Sakai Nozomu,
Kagawa Shingo,
Miyazaki Masaru
Publication year - 2014
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.128
Subject(s) - medicine , portal vein , pancreatic cancer , renal vein , resection , radiology , vein , surgery , right gastric vein , pancreas , cancer , kidney , portal hypertension , portal venous pressure , cirrhosis
Surgical resection is the only hope for cure in patients with pancreatic cancer. To improve the resectability and achieve better prognosis of this lethal disease, extended resection for pancreatic cancer has been applied. We have performed portal vein resection aggressively for pancreatic cancer with portal vein invasion. We also established a method of portal vein reconstruction using the left renal vein graft for tumors widely extended to the portal vein. Our data show similar survival between patients with portal vein obstruction and those without invasion. We also show that portal vein reconstruction using the left renal vein graft can be performed safely without severe liver damage. With video, we introduce our surgical technique for portal vein resection and reconstruction, especially focusing on the usage of the left renal vein graft, providing several tips for a safe and successful procedure.