Context: In some cases, synchronous superior mesenteric-portal vein resection can be performed during pancreatic resection for cancer. The reconstruction technique is usually primary anastomosis; in only a few cases is an autologous vein graft needed. Case report: We report a case of reconstruction of the superior mesenteric-portal vein with a splenic vein autograft in a patient affected by pancreatic head adenocarcinoma who underwent a total pancreatectomy. Conclusions: The reconstruction of the superior mesenteric-portal vein with a splenic vein autograft should be performed in selected cases. It allows a reduction of operating time, it is a less invasive approach than reconstruction using an internal jugular vein autograft and it can be an oncologically correct approach
Managing unsuspected tumour invasion of the superior mesenteric-poral vein during surgery for pancreatic head cancer. A case report / Casadei R; D’Ambra M; Freyrie A; Monari F; Alagna V; Ricci C; Minni F. - In: JOP. JOURNAL OF THE PANCREAS. - ISSN 1590-8577. - 10:4(2009), pp. 448-450.
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