Portal vein reconstruction with interposition of cryopreserved aortic graft: A case report and literature review
Pancreatic cancer is one of the most aggressive malignancies with poor rates of survival especially in the event radical procedures are not feasible. However, improvements in surgical techniques have led to the successful association of vascular resection followed by reconstruction without a signifi...
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| Veröffentlicht in: | Experimental and therapeutic medicine 2022-02, Vol.23 (2), p.184, Article 184 |
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| creator | Bacalbasa, Nicolae Balescu, Irina Diaconu, Camelia Socea, Bogdan Gherghiceanu, Florentina Stiru, Ovidiu Brasoveanu, Vladislav |
| description | Pancreatic cancer is one of the most aggressive malignancies with poor rates of survival especially in the event radical procedures are not feasible. However, improvements in surgical techniques have led to the successful association of vascular resection followed by reconstruction without a significant increase in the rates of postoperative complications. In the present article, we present the case of a 49-year-old patient diagnosed with pancreatic head cancer invading the portal vein. After discussing with the patient the risks and the benefits of the surgical procedure, the patient was submitted to pancreatoduodenectomy en bloc with portal vein resection while the continuity of the portal vein was reestablished by using a cadaveric graft originating from the abdominal aorta. The postoperative outcome was uneventful. In conclusion, in selected cases, arterial cadaveric grafts may be used in order to establish the continuity of the portal vein with good results. However, it should be emphasized that these are demanding procedures which should be carefully analyzed before deciding upon the opportunity for performing them. |
| doi_str_mv | 10.3892/etm.2021.11107 |
| format | Article |
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However, improvements in surgical techniques have led to the successful association of vascular resection followed by reconstruction without a significant increase in the rates of postoperative complications. In the present article, we present the case of a 49-year-old patient diagnosed with pancreatic head cancer invading the portal vein. After discussing with the patient the risks and the benefits of the surgical procedure, the patient was submitted to pancreatoduodenectomy en bloc with portal vein resection while the continuity of the portal vein was reestablished by using a cadaveric graft originating from the abdominal aorta. The postoperative outcome was uneventful. In conclusion, in selected cases, arterial cadaveric grafts may be used in order to establish the continuity of the portal vein with good results. However, it should be emphasized that these are demanding procedures which should be carefully analyzed before deciding upon the opportunity for performing them.</description><identifier>ISSN: 1792-0981</identifier><identifier>EISSN: 1792-1015</identifier><identifier>DOI: 10.3892/etm.2021.11107</identifier><identifier>PMID: 35069865</identifier><language>eng</language><publisher>Greece: Spandidos Publications</publisher><subject>Abdomen ; Cancer ; Care and treatment ; Case reports ; Case studies ; Contraindications ; Coronary vessels ; Cryopreservation of organs, tissues, etc ; Health aspects ; Infections ; Metastasis ; Oncology ; Pancreatic cancer ; Pancreaticoduodenectomy ; Patients ; Portal vein ; Prostheses ; Thrombosis ; Transplantation ; Ultrasonic imaging ; Vascular surgery ; Veins ; Veins & arteries</subject><ispartof>Experimental and therapeutic medicine, 2022-02, Vol.23 (2), p.184, Article 184</ispartof><rights>Copyright © 2020, Spandidos Publications.</rights><rights>COPYRIGHT 2022 Spandidos Publications</rights><rights>Copyright Spandidos Publications UK Ltd. 2022</rights><rights>Copyright © 2020, Spandidos Publications 2020</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c382t-7c75e993f2f50e43d30ab467d353209b94ec2114de2ee61e79b8034e2c14740c3</citedby><cites>FETCH-LOGICAL-c382t-7c75e993f2f50e43d30ab467d353209b94ec2114de2ee61e79b8034e2c14740c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8764900/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8764900/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35069865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bacalbasa, Nicolae</creatorcontrib><creatorcontrib>Balescu, Irina</creatorcontrib><creatorcontrib>Diaconu, Camelia</creatorcontrib><creatorcontrib>Socea, Bogdan</creatorcontrib><creatorcontrib>Gherghiceanu, Florentina</creatorcontrib><creatorcontrib>Stiru, Ovidiu</creatorcontrib><creatorcontrib>Brasoveanu, Vladislav</creatorcontrib><title>Portal vein reconstruction with interposition of cryopreserved aortic graft: A case report and literature review</title><title>Experimental and therapeutic medicine</title><addtitle>Exp Ther Med</addtitle><description>Pancreatic cancer is one of the most aggressive malignancies with poor rates of survival especially in the event radical procedures are not feasible. 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However, it should be emphasized that these are demanding procedures which should be carefully analyzed before deciding upon the opportunity for performing them.</description><subject>Abdomen</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Case reports</subject><subject>Case studies</subject><subject>Contraindications</subject><subject>Coronary vessels</subject><subject>Cryopreservation of organs, tissues, etc</subject><subject>Health aspects</subject><subject>Infections</subject><subject>Metastasis</subject><subject>Oncology</subject><subject>Pancreatic cancer</subject><subject>Pancreaticoduodenectomy</subject><subject>Patients</subject><subject>Portal vein</subject><subject>Prostheses</subject><subject>Thrombosis</subject><subject>Transplantation</subject><subject>Ultrasonic imaging</subject><subject>Vascular surgery</subject><subject>Veins</subject><subject>Veins & arteries</subject><issn>1792-0981</issn><issn>1792-1015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptUV1LHDEUDcVSxfraRwn4vNt8ziQ-CItYWxDah_Y5ZDN31shMMiaZXfz3zepWLJj7kMvJOYd7cxD6QsmSK82-QhmXjDC6pJSS9gM6oa1mC0qoPDr0RCt6jM5yfiD1yIYqJT-hYy5Jo1UjT9D0K6ZiB7wFH3ACF0MuaXbFx4B3vtxjHwqkKWb_DMUeu_QUpwQZ0hY6bKvcO7xJti-XeIWdzVB9pgpjGzo8-Cq3ZU57dOth9xl97O2Q4exwn6I_325-X39f3P28_XG9uls4rlhZtK6VoDXvWS8JCN5xYteiaTsuOSN6rQU4RqnogAE0FFq9VoQLYI6KVhDHT9HVi-80r0foHISS7GCm5Eebnky03vz_Evy92cStUW0jNCHV4OJgkOLjDLmYhzinUGc2rGFc8UbLN6yNHcD40Mdq5kafnVlVApdCCV1Zy3dYtToYff1z6H3F3xO4FHNO0L8OTonZZ29q9mafvXnOvgrO3677Sv-XNP8LbumreQ</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Bacalbasa, Nicolae</creator><creator>Balescu, Irina</creator><creator>Diaconu, Camelia</creator><creator>Socea, Bogdan</creator><creator>Gherghiceanu, Florentina</creator><creator>Stiru, Ovidiu</creator><creator>Brasoveanu, Vladislav</creator><general>Spandidos Publications</general><general>Spandidos Publications UK Ltd</general><general>D.A. 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| ispartof | Experimental and therapeutic medicine, 2022-02, Vol.23 (2), p.184, Article 184 |
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| subjects | Abdomen Cancer Care and treatment Case reports Case studies Contraindications Coronary vessels Cryopreservation of organs, tissues, etc Health aspects Infections Metastasis Oncology Pancreatic cancer Pancreaticoduodenectomy Patients Portal vein Prostheses Thrombosis Transplantation Ultrasonic imaging Vascular surgery Veins Veins & arteries |
| title | Portal vein reconstruction with interposition of cryopreserved aortic graft: A case report and literature review |
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