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首页> 外文期刊>Vascular and endovascular surgery >Superior Mesenteric Vein Injury During Oncologic Right Colectomy: Current Vascular Repair Modalities
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Superior Mesenteric Vein Injury During Oncologic Right Colectomy: Current Vascular Repair Modalities

机译：初学期间骨膜静脉损伤优异的肠系膜静脉损伤：目前的血管修复方式

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Purpose: To review the different vascular repair options of superior mesenteric vein (SMV) damage during oncologic right colectomy. Methods: This is a retrospective chart review of 5 cases in which severe damage to the SMV occurred during oncological right colectomy in an academic medical center. Results: During a 10-year study period, we encountered 5 cases in which severe damage to the SMV and its tributaries occurred. Two of the patients underwent primary venous repair for partial lacerations. The other 3 underwent interposition graft repair using a great saphenous vein (GSV) graft. Two of the grafts remained patent, while the third required replacement with a bovine pericardial patch. Conclusions: The SMV injury during oncologic right colectomy is a technically challenging injury. Based on our own experience and review of the literature, we formulated the following set of recommendations: (1) Venous ligation should be avoided, and revascularization should be attempted whenever feasible. (2) Primary venorrhaphy in cases of partial lacerations is the preferred treatment option. (3) End-to-end anastomosis is an efficient but seldom available repair option in the setting of complete SMV transection without segmental loss. (4) Autologous vein graft using the GSV is the preferred mode of repair during SMV injury with tissue loss. (5) Use of polytetrafluoroethylene (PTFE) graft should be avoided if possible due to greater risk of graft contamination. (6) A low threshold for reexploration depending on laboratory and imaging findings is advisable.
机译：目的：在肿瘤术语右侧联合术期间审查优质肠系膜静脉（SMV）损伤的不同血管修复选择。方法：这是对5例的回顾性图表综述，其中在学术医疗中心的骨科右侧联合术期间发生严重损害SMV。结果：在一个10年的学习期间，我们遇到了5例，严重损害SMV及其支流发生。两名患者接受了部分撕裂的主要静脉修复。其他3使用伟大的隐含静脉（GSV）移植物进行介入移植物修复。两种移植物仍然是专利，而第三种所需的牛皮包装贴片。结论：核心职业联合术期间的SMV损伤是一种技术上挑战性伤害。根据我们自己的经验和对文献的审查，我们制定了以下建议书：（1）应避免静脉结扎，并且只要可行，应尝试血运重建。 （2）部分撕裂病例的原发性静脉乳清是优选的治疗方法。 （3）端到端的吻合术是一种有效但很少可用的修复选项，在没有节段性损失的完全SMV横向的设置中。 （4）使用GSV的自体静脉移植是SMV损伤期间的优选修复模式。 （5）如果可能的接枝污染风险更大，则应避免使用聚四氟乙烯（PTFE）移植物。 （6）根据实验室和成像结果，可根据实验室和成像结果进行低阈值。

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