Superficial Femoral Vein as a Conduit for Portal Vein Reconstruction During Pancreaticoduodenectomy
Jason B. Fleming, MD;
Carlton C. Barnett, MD;
G. Patrick Clagett, MD
Arch Surg. 2005;140:698-701.
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The management of pancreatic tumor adherence to the lateral wall of the superior mesenteric and portal veins (SMPV) represents the most challenging technical aspect of pancreaticoduodenectomy (PD). Prior studies have demonstrated that partial or segmental venous resection and reconstruction is an ideal means of managing tumor adherence to the SMPV. Options for conduit during SMPV reconstruction include synthetic or autogenous vein grafts; however, the infectious risks of PD make autogenous tissue preferable. Our institution has extensive experience with use of the superficial femoral vein (SFV) for aortic and venous reconstruction. We describe herein the use of the SFV in the reconstruction of the SMPV in patients undergoing PD and vein resection for periampullary tumors. Our early experience with this specific technique has generated several observations. First, our experience has confirmed that safe performance of SMPV resection and graft . . . [Full Text of this Article]TECHNIQUE
COMMENT
AUTHOR INFORMATION
Author Affiliations: Divisions of Surgical Oncology and Vascular Surgery, University of Texas Southwestern Medical Center, Dallas.
RELATED LETTER
Spiral Vein Graft Replacement of Portomesenteric Vein Using Saphenous Vein
Dai D. Nghiem
Arch Surg. 2006;141(2):217.
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Spiral vein graft replacement of portomesenteric vein using saphenous vein.
Nghiem
Arch Surg 2006;141:217-217.
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