The feusibility study on application of lilac vein in extended pancreatoduodenectomy
- VernacularTitle:髂内静脉在胰十二指肠扩大切除术中应用的可行性研究
- Author:
Yan CHEN
;
Xiaoqing GUAN
;
Jisheng WU
;
Yajin ZHANG
;
Xinqiang ZHU
;
Ji WU
- Publication Type:Journal Article
- Keywords:
Iliac vein;
Pancreatic neoplasms;
Pancreatoduodenoctomy;
Mesenteric vein;
Portal vein
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(29):15-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the relationship ofiliac vein, portal vein(PV) and superior mesenteric vein (SMV), explore the feasibility on application of iliac vein in extended pancreatoduodenoctomy, and observe the clinical results. Methods Portal system and iliac venous system were dissected in 20 adult corpses. The caliber, thickness and branches of iliac vein, PV and SMV were observed and compared. The application of iliac vein in extended pancreateduodenoctomy were studied in 2 patients. Results There were no branch in 30 mm near lilac vein, 1 branch in 30--50 nun and 2-3 branches in 51-70 ram. The thickness and caliber of iliac vein matched with PV's and SMV's, there was no significant difference. Only proper pro-longed operative incisions were needed and the operation time was 5-7 hours. Postoperative vascular throm-bosis, necrosis of intestine, liver failure and so on were not occurred. No evidence of vascular embolism and recurrence happened within 6-16 months' follow-up. Conclusion Uiac vein, as a choice, can be used for vasotransplantation in the pancreatoduodenectomy.
