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  • Title: [Combined resection of the pancreas and portal vein replaced by blood vessel prosthesis for pancreatic head carcinoma: report of two cases].
    Author: Chen F, Fu W, Xu X.
    Journal: Zhonghua Wai Ke Za Zhi; 1997 Mar; 35(3):147-9. PubMed ID: 10374520.
    Abstract:
    The resectability and prognosis of carcinoma of the pancreatic head are still poor. The higher resectability rate was achieved by combined resection of the pancreas and portal vein. Two patients in whom the portal vein, surrounded but not penetrated by pancreatic carcinoma, was resected and replaced by an expanded Teflon (Gore-Tex) tube (diameter 8 mm). One patient, who survived 32 months without recurrence of disease, had a ultrasonography and CT proved patent graft 6 and 32 months after operation. A second survivor had a patent graft at 20 month. Excision of involved portal vein during pancreatoduodenectomy for carcinoma of the head of the pancreas is a feasible and valid procedure in the absence of metastases. Vein grafting is the best means for portal vein reconstruction. Gore-Tex appears to be suitable prosthesis when the portal vein must be sacrificed.
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