Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Optimal management of the splenic vein at the time of venous resection for pancreatic cancer: importance of the inferior mesenteric vein. J Gastrointest Surg 2014 May;18(5):917-21

Date

12/19/2013

Pubmed ID

24347313

DOI

10.1007/s11605-013-2428-6

Scopus ID

2-s2.0-84900297449   30 Citations

Abstract

BACKGROUND: Resection of the superior mesenteric vein (SMV)-portal vein (PV)-splenic vein (SV) confluence during pancreatectomy for pancreatic cancer requires management of the SV.

DISCUSSION: Simple SV ligation can result in sinistral portal hypertension if the inferior mesenteric vein (IMV) enters the confluence and is thereby resected, or if the IMV is insufficient to drain the SV. We describe herein three patients whose clinical course confirms the importance of the IMV decompressing the SV to avoid sinistral hypertension.

Author List

Pilgrim CH, Tsai S, Tolat P, Patel P, Rilling W, Evans DB, Christians KK

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
Parag J. Patel MD, MS, FSIR Professor in the Radiology department at Medical College of Wisconsin
William S. Rilling MD, FSIR Vice Chair, Professor in the Radiology department at Medical College of Wisconsin
Parag P. Tolat MD Chief, Associate Professor in the Radiology department at Medical College of Wisconsin
Susan Tsai MD Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Female
Humans
Hypertension, Portal
Ligation
Male
Mesenteric Veins
Pancreatic Neoplasms
Pancreaticoduodenectomy
Portal Vein
Splenic Vein