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首页> 外文期刊>Journal of International Medical Research >Segmental portal/superior mesenteric vein resection and reconstruction with the iliac vein after pancreatoduodenectomy
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Segmental portal/superior mesenteric vein resection and reconstruction with the iliac vein after pancreatoduodenectomy

机译：胰十二指肠切除术后部分门静脉/肠系膜上静脉切除及with静脉重建

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Objective The results of segmental venous resection (VR) combined with pancreatoduodenectomy (PD) are controversial but may be promising. Few studies have described reconstruction of the portal/superior mesenteric vein (PV/SMV) with the iliac vein harvested from donation after cardiac death (DCD). Methods From January 2014 to April 2016, PD combined with segmental excision of the PV/SMV (VR group) was performed in 21 patients with adenocarcinoma of the head of the pancreas (ADHP). The authors established a new technique of venous reconstruction using the iliac vein from DCD and analysed patients’ long-term survival. Results The tumour dimensions and tumour staging were greater and the operation time was longer in the VR than PD group; however, no differences in the resection degree, blood loss, complications, reoperation rate, or mortality rate were found. The median survival was similar between the VR and PD groups. The long-term patency of the donor iliac vein was 90%. The degree of resection was a strong predictor of long-term survival. Conclusion Segmental PV/SMV resection combined with PD is applicable to selective patients with venous invasion by ADHP if R0 resection has probably been achieved. An iliac vein obtained by DCD provides an effective graft for venous reconstruction.
机译：目的分段静脉切除术（VR）联合胰十二指肠切除术（PD）的结果存在争议，但可能有希望。很少有研究描述用心脏死亡（DCD）后的捐赠收集的the静脉重建门静脉/肠系膜上静脉（PV / SMV）。方法2014年1月至2016年4月，对21例胰头腺癌（ADHP）患者行PD联合PV / SMV分段切除术（VR组）。作者建立了一种使用DCD the静脉重建静脉的新技术，并分析了患者的长期存活率。结果VR组较PD组有较大的肿瘤大小和分期，手术时间更长。然而，在切除程度，失血量，并发症，再次手术率或死亡率方面均未发现差异。 VR和PD组之间的中位生存期相似。供体donor静脉的长期通畅率为90％。切除程度是长期生存的重要指标。结论分段PV / SMV切除结合PD可能适用于选择的ADHP合并静脉侵犯的患者，如果可能已达到R0切除率。 DCD获得的静脉为静脉重建提供了有效的移植物。

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