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Portal vein resection. Surg Clin North Am 2010 Apr;90(2):309-22

Date

04/07/2010

Pubmed ID

20362788

DOI

10.1016/j.suc.2009.12.001

Scopus ID

2-s2.0-77950813124   35 Citations

Abstract

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 DB

Authors

Kathleen K. Christians MD Professor in the Surgery department at Medical College of Wisconsin
Douglas 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

Adenocarcinoma
Humans
Mesenteric Veins
Neoadjuvant Therapy
Neoplasm Invasiveness
Pancreatic Neoplasms
Patient Selection
Portal Vein
Tomography, X-Ray Computed
Vascular Surgical Procedures