Superior mesentericoportal vein resection end to end anastomosis without graft interposition in patients of colonic cancer involving portal vein undergoing combined pancreatoduodenectomy

VernacularTitle:结肠肝曲癌侵犯门静脉行联合肠系膜上静脉-门静脉切除对端吻合重建手术
Author: Hui REN ; Jingjing LIU ; Guofeng ZHANG ; Xuedong FANG
Publication Type:Journal Article
Keywords: Colonic neoplasms; Pancreaticoduodenectomy; Portal vein
From: Chinese Journal of General Surgery 2013;(5):364-367
CountryChina
Language:Chinese
Abstract: Objective To evaluate the feasibility and safety of portal-superior mesenteric vein resection and end-to-end anastomosis in cases of colonic carcinoma invading portal vein undergoing combined right hemicolectomy (RH) and pancreaticoduodenectomy (PD) without the need of graft interposition.Methods From 2004 to 2011,5 patients underwent resection of right-sided colon and pancreaticoduodenectomy combined mesentericoportal vein resection at a length from 3 to 4 cm and end-toend anastmoses without graft.Results Surgery was successful in all 5 patients,with complete resection,no severe complications occurred,and all 5 patients were cured.Conclusions Cancers in hepatic flexure of the colon frequently infiltrates the head of the pancreas and duodenum,involving the portal vein.Conservative radical right hemicolectomy and pancreaticoduodenectomy combined long mesentericoportal vein resection and end-to-end anastmoses without graft is a reasonable and safe procedure.