Portal vein resection. Surg Clin North Am 2010 Apr;90(2):309-22
Date
04/07/2010Pubmed ID
20362788DOI
10.1016/j.suc.2009.12.001Scopus ID
2-s2.0-77950813124 (requires institutional sign-in at Scopus site) 40 CitationsAbstract
The American Hepato-Pancreatico-Biliary Association and Society of Surgical Oncology published a consensus statement in 2009 on the subject of vein resection and reconstruction during pancreaticoduodenectomy (PD), and concluded that PD with vein resection and reconstruction is a viable option for treatment of some pancreatic adenocarcinomas. This article describes the current approaches and recent advances in the management, staging, and surgical techniques regarding portal vein resection. With proper patient selection, a detailed understanding of the anatomy of the root of mesentery, and adequate surgeon experience, vascular resection and reconstruction can be performed safely and does not impact survival duration. Isolated venous involvement is not a contraindication to PD when performed by experienced surgeons at high-volume centers as part of a multidisciplinary and multimodal approach to localized pancreatic cancer.
Author List
Christians KK, Lal A, Pappas S, Quebbeman E, Evans DBAuthors
Kathleen K. Christians MD Professor in the Surgery department at Medical College of WisconsinDouglas B. Evans MD Chair, Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdenocarcinomaHumans
Mesenteric Veins
Neoadjuvant Therapy
Neoplasm Invasiveness
Pancreatic Neoplasms
Patient Selection
Portal Vein
Tomography, X-Ray Computed
Vascular Surgical Procedures
