Portal mesenteric shunting for reconstruction of the visceral venous system11No competing interests declared.

Dardik, Herbert; Shander, Aryeh; Dardik, Sharon; Silvestri, Fred; Ciervo, Alfonso; Benotti, Peter N.

doi:10.1016/s1072-7515(00)00687-6

Cited by 3 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the high incidence (11.6%-64.3%) of pancreatic fistulas after PD and the possible occurrence of a biliary or an intestinal leak, efforts to mitigate the risk of prosthetic infection are warranted. 7 Furthermore, although the literature on conduit patency after PVR is sparse, the best data currently available have suggested that a prosthetic conduit is a risk factor for PV thrombosis after pancreatic resection. 15 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Portalvein reconstruction with a cadaveric descending thoracic aortic homograft

Gaffey

Zhang

Lee

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

“… 6 Since its first description, this particular surgical technique has been further refined, and other conduits have been used. 7 , 8 However, no consensus has been reached regarding the best alternate conduit for portal–mesenteric vein reconstruction in the setting of pancreatic resection for pancreatic cancer.…”

mentioning

confidence: 99%

Portalvein reconstruction with a cadaveric descending thoracic aortic homograft

Gaffey

Zhang

Lee

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

“…Options for vein conduit include synthetic 8,23,24 or autogenous vein grafts; however, infection concerns make autogenous tissue preferable. Liberally using antibiotics; performing vein reconstruction walled off from biliary, pancreatic, and intestinal areas; and covering the reconstructed area as best possible with adjacent autologous tissue are adjuncts to minimize the potential for infection.…”

Section: Portal Reconstruction Using Prosthetic Interposition Grafts Xenografts or Intraluminal Shuntsmentioning

confidence: 99%

“…Liberally using antibiotics; performing vein reconstruction walled off from biliary, pancreatic, and intestinal areas; and covering the reconstructed area as best possible with adjacent autologous tissue are adjuncts to minimize the potential for infection. Dardik et al 8 reported the use of an 8-mm interposition PTFE graft. The advantages of using prosthetic material include ready availability and an appropriate size match with the mesenteric vein.…”

Section: Portal Reconstruction Using Prosthetic Interposition Grafts Xenografts or Intraluminal Shuntsmentioning

confidence: 99%

Portomesenteric Reconstruction During Whipple Procedures: Review and Report of a Case

León

Hughes

Psalms

et al. 2008

Vasc Endovascular Surg

View full text Add to dashboard Cite

A 60-year-old man undergoing a Whipple procedure to treat a pancreatic cancer was found to have tumor adherence to the portal vein. An en block pancreaticoduodenectomy with segmental portal vein resection (PVR) was performed. A primary portal vein anastomosis was initially attempted but failed. Hemodynamic deterioration led the authors to perform a temporary prosthetic portal vein interposition graft and abdominal closure. The following morning, once stable, the patient was brought back to the operating room for autologous reconstruction with femoral vein and completion of the pancreaticoduodenectomy. The role of PVR for vein invasion or tumor adherence during a Whipple procedure is still under debate. However, there is growing evidence that the perioperative morbidity and long-term survival in patients who undergo a pancreaticoduodenectomy with PVR are similar to those of patients without vein resection. Therefore a combined resection of the pancreatic head and the portal vein has been suggested in the absence of other contraindications for resection to be able to offer a curative surgical intervention to a larger number of patients. The authors herein report the details of a patient's case and also review the currently available methods for PVR and reconstruction.

show abstract

“…1). However, the infectious risks of pancreaticoduodenectomy make autologous tissue ideal were it not for the extra time and surgical procedure required for harvest [16,17]. Studies have demonstrated that segmental venous resection and subsequent reconstruction is the ideal means of managing tumours adherent to the SMV and PV, and can achieve survival equivalent to any margin-negative pancreaticoduodenectomy [17].…”

Section: Introductionmentioning

confidence: 99%