当前位置： SCI文献检索 > Journal of Hepato-Biliary-Pancreatic Sciences期刊下所有文献 > Pancreaticoduodenectomy with venous reconstruction using cold-stored vein allografts: long-term results of a single center experience.

Pancreaticoduodenectomy with venous reconstruction using cold-stored vein allografts: long-term results of a single center experience.

Abstract：

BACKGROUND:The use of cadaveric vein allografts was first described by our group as a feasible option for venous reconstruction. The aim of this study was to report long-term results of this innovative technique. METHODS:Cold-stored veins harvested from donor cadavers were used as homologous grafts for venous reconstruction after vascular resection during pancreaticoduodenectomy. Surgical technique included patch closure or segmental interposition. Graft patency was assessed by computed tomography postoperatively and during follow-up. Postoperative morbidity and mortality were also analyzed. RESULTS:Eleven patients underwent venous resection and reconstruction by using fresh vein allografts for patch closure in four cases, conduit interposition in six cases and a Y-shaped graft interposition in one case. Median clamping time, operative time and estimated blood loss were 30 min, 6.6 h, and 337 ml, respectively. One patient, who had preoperative SMV thrombus, developed early portal vein thrombosis and died. Among the remaining 10 patients, there were no cases of graft thrombosis or stenosis during active follow-up (median 9, range 1-23, months). CONCLUSIONS:Our experience with cold-stored vein allografts suggests that this technique is a useful option for treating major vascular resections during pancreaticoduodenectomy with good results on follow-up.

journal_name

J Hepatobiliary Pancreat Sci

journal_title

Journal of hepato-biliary-pancreatic sciences

authors

Meniconi RL,Santoro R,Guglielmo N,Vennarecci G,Lepiane P,Colasanti M,Ettorre GM

doi

10.1002/jhbp.299

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

43-9

issue

1

eissn

1868-6974

issn

1868-6982

journal_volume

23

pub_type

杂志文章

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