These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Management of the splenic vein during a pancreaticoduodenectomy with venous resection for malignancy.
    Author: Addeo P, Nappo G, Felli E, Oncioiu C, Faitot F, Bachellier P.
    Journal: Updates Surg; 2016 Sep; 68(3):241-246. PubMed ID: 27651335.
    Abstract:
    Nowadays, pancreaticoduodenectomies (PD) with an "en-bloc" resection of the spleno-mesenterico-portal (SMP) venous axis are safely performed at tertiary centers for patients presenting venous invasion. However, for tumors infiltrating the SMP confluence optimal management of the splenic vein (SV) remains a matter of debate. Simple SV ligation has been associated with the development of sinistral portal hypertension, gastrointestinal bleeding and hypersplenism over the long term. To avoid these complications, reconstructive methods such as the direct implantation of the SV into a SMP "neoconfluence", the inferior mesenteric vein-SV anastomosis and the distal spleno-renal shunt have been reported. This article summarizes the different technical solutions available and the current evidence supporting the optimal management of the SV stump during a "safe" radical PD for pancreatic cancer. Technical issues, advantages as well as drawbacks of the different techniques, are discussed.
    [Abstract] [Full Text] [Related] [New Search]