Long Mesentericoportal Vein Resection and End-to-End Anastomosis Without Graft in Pancreaticoduodenectomy
详细信息 查看全文
- 作者：Ji Zhang (1)
Hong-Gang Qian (1)
Jia-Hua Leng (1)
Ming Cui (1)
Hui Qiu (1)
Guo-Quan Zhou (1)
Jian-Hui Wu (1)
Yong Yang (1)
Chun-Yi Hao (1) - 关键词：Pancreatic carcinoma ; Pancreaticoduodenectomy ; Vascular resection
- 刊名：Journal of Gastrointestinal Surgery
- 出版年：2009
- 出版时间：August 2009
- 年：2009
- 卷：13
- 期：8
- 页码：1524-1528
- 全文大小：104KB
- 参考文献：1. Fortner JG. Regional pancreatectomy for cancer of the pancreas, ampulla, and other related sites. Tumor staging and results. Ann Surg 1984;199(4):418-25. doi:10.1097/00000658-198404000-00008 . CrossRef
2. Tseng JF, Tamm EP, Lee JE, Pisters PW, Evans DB. Venous resection in pancreatic cancer surgery. Best Pract Res Clin Gastroenterol 2006;20(2):349-64. doi:10.1016/j.bpg.2005.11.003 . CrossRef
3. Leach SD, Lee JE, Charnsangavej C, Cleary KR, Lowy AM, Fenoglio CJ, Pisters PW, Evans DB. Survival following pancreaticoduodenectomy with resection of the superior mesenteric-portal vein confluence for adenocarcinoma of the pancreatic head. Br J Surg 1998;85(5):611-17. doi:10.1046/j.1365-2168.1998.00641.x . CrossRef
4. Fuhrman GM, Leach SD, Staley CA, Cusack JC, Charnsangavej C, Cleary KR, El-Naggar AK, Fenoglio CJ, Lee JE, Evans DB. Rationale for en bloc vein resection in the treatment of pancreatic adenocarcinoma adherent to the superior mesenteric-portal vein confluence. Pancreatic Tumor Study Group. Ann Surg 1996;223(2):154-62. doi:10.1097/00000658-199602000-00007 . CrossRef
5. Bold RJ, Charnsangavej C, Cleary KR, Jennings M, Madray A, Leach SD, Abbruzzese JL, Pisters PW, Lee JE, Evans DB. Major vascular resection as part of pancreaticoduodenectomy for cancer: radiologic, intraoperative, and pathologic analysis. J Gastrointest Surg 1999;3(3):233-43. doi:10.1016/S1091-255X(99)80065-1 . CrossRef
6. Cattell RB, Braasch JW. A technique for the exposure of the third and fourth portions of the duodenum. Surg Gynecol Obstet 1960;111:378-79.
7. Carrère N, Sauvanet A, Goere D, Kianmanesh R, Vullierme MP, Couvelard A, Ruszniewski P, Belghiti J. Pancreaticoduodenectomy with mesentericoportal vein resection for adenocarcinoma of the pancreatic head. World J Surg 2006;30(8):1526-535. doi:10.1007/s00268-005-0784-4 . CrossRef
8. Yeo CJ, Cameron JL, Lillemoe KD, Sohn TA, Campbell KA, Sauter PK, Coleman J, Abrams RA, Hruban RH. Pancreaticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary adenocarcinoma, part 2: randomized controlled trial evaluating survival, morbidity, and mortality. Ann Surg 2002;236(3):355-66. doi:10.1097/00000658-200209000-00012 . CrossRef
9. Tseng JF, Raut CP, Lee JE, Pisters PW, Vauthey JN, Abdalla EK, Gomez HF, Sun CC, Crane CH, Wolff RA, Evans DB. Pancreaticoduodenectomy with vascular resection: margin status and survival duration. J Gastrointest Surg 2004;8(8):935-49. doi:10.1016/j.gassur.2004.09.046 . CrossRef
10. Varty PP, Yamamoto H, Farges O, Belghiti J, Sauvanet A. Early retropancreatic dissection during pancreaticoduodenectomy. Am J Surg 2005;189(4):488-91. doi:10.1016/j.amjsurg.2005.01.007 . CrossRef
11. Machado MC, Penteado S, Cunha JE, Jukemura J, Herman P, Bacchella T, Machado MA, Montagnini AL. Pancreatic head tumors with portal vein involvement: an alternative surgical approach. Hepatogastroenterology 2001;48:1486-487.
12. Capussotti L, Massucco P, Ribero D, Viganò L, Muratore A, Calgaro M. Extended lymphadenectomy and vein resection for pancreatic head cancer: outcomes and implications for therapy. Arch Surg 2003;138(12):1316-322. doi:10.1001/archsurg.138.12.1316 . CrossRef
13. Tuech JJ, Pessaux P, Arnaud JP. Portal vein resection in pancreatic head carcinoma. Part 1: technical considerations. Hepatogastroenterology 2001;48(39):884-87.
14. Fujisaki S, Tomita R, Fukuzawa M. Utility of mobilization of the right colon and the root of the mesentery for avoiding vein grafting during reconstruction of the portal vein. J Am Coll Surg 2001;193(5):576-78. doi:10.1016/S1072-7515(01)01039-0 . CrossRef
15. Aramaki M, Matsumoto T, Etoh T, Ishio T, Himeno Y, Sasaki A, Yada K, Kawano K, Kitano S. Clinical significance of combined pancreas and portal vein resection in surgery for pancreatic adenocarcinoma. Hepatogastroenterology 2003;50(49):263-66.
16. Bachellier P, Nakano H, Oussoultzoglou PD, Weber JC, Boudjema K, Wolf PD, Jaeck D. Is pancreaticoduodenectomy with mesentericoportal venous resection safe and worthwhile? Am J Surg 2001;182(2):120-29. doi:10.1016/S0002-9610(01)00686-9 . CrossRef
17. Nakao A, Harada A, Nonami T, Kaneko T, Inoue S, Takagi H. Clinical significance of portal invasion by pancreatic head carcinoma. Surgery 1995;117(1):50-5. doi:10.1016/S0039-6060(05)80229-6 . CrossRef - 作者单位：Ji Zhang (1)
Hong-Gang Qian (1)
Jia-Hua Leng (1)
Ming Cui (1)
Hui Qiu (1)
Guo-Quan Zhou (1)
Jian-Hui Wu (1)
Yong Yang (1)
Chun-Yi Hao (1)
1. Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Hepato-pancreato-biliary Surgery, Peking University School of Oncology, Beijing Cancer Hospital & Institute, #52, Fu-Cheng-Lu Street, 100036, Beijing, China
文摘
Introduction The feasibility and safety of pancreaticoduodenectomy (PD) combined with long segmental mesentericoportal vein (MPV; >5?cm) resection and end-to-end anastomosis without graft has rarely been demonstrated. Materials and methods Eight patients with pancreatic head adenocarcinoma underwent PD combined with long MPV resection between August 2006 and May 2008 in Peking University School of Oncology. Results By liver mobilization and Cattell–Braasch maneuver, direct and tension-free end-to-end anastomosis was easily performed even when the resected segment of the MPV was longer than 5?cm. All the eight patients experienced uneventful recovery without severe complications. Conclusions PD with long MPV resection and direct end-to-end anastomoses is safe and effective.