DOI: https://doi.org/10.22263/2312-4156.2016.5.98
Shchastny A.T.*, Savchuk M.M.*, Kugayev M.I.*, Syatkovsky A.R.**, Salmin I.M.**
The use of xenopericardium for the portal vein replacement
*Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
**Vitebsk Regional Clinical Hospital, Vitebsk, Republic of Belarus
Vestnik VGMU. 2016;15(5):98-102.
Abstract.
The damage of the portal or superior mesenteric vein during pancreatic resection procedure is known to be a big problem for a surgeon. In this situation, applying the end-to-end anastomosis is the best option. Otherwise, if the defect is large, the vein needs to be resected and various options of its replacement are required. Currently many variants of replacement are proposed using both synthetic and autologous prostheses. In this article we would like to describe our successful experience of replacing the portal vein using the porcine pericardium, made in the surgical hepatology department of Vitebsk regional clinical hospital.
Key words: pancreatoduodenal resection, portal vein damage, portal vein replacement, porcine pericardium.
References
1. Ball CG, Dixon E, Vollmer CM, Howard TJ. The view from 10,000 procedures: technicaltips and wisdom from master pancreaticsurgeons to avoid hemorrhage duringpancreaticoduodenectomy. BMC Surg. 2015 Nov;15:122. doi: http://dx.doi.org/10.1186/s12893-015-0109-y
2. Kim SM, Min SK, Park D, Min SI, Jang JY, Kim SW, et al. Reconstruction of portal vein and superior mesenteric vein after extensive resection for pancreatic cancer. J Korean Surg Soc. 2013 Jun;84(6):346-52. doi: http://dx.doi.org/10.4174/jkss.2013.84.6.346
3. Sung Hoon Choi, Ho Kyoung Hwang, Chang Moo Kang, Woo Jung Lee. Potential Use of Left Renal Vein Graft in PancreaticoduodenectomyCombined with Long Segmental Resection of the Superior Mesenteric-Splenic-Portal Vein Confluence. JOP J Pancreas (Online) 2011 May;12(3):234-40.
4. Kim JH, Cho YP, Kwon TW, Kim H, Kim GE. Ten-year comparative analysis of bovine pericardium and autogenous vein for patch angioplasty in patients undergoing carotid endarterectomy. Ann Vasc Surg. 2012 Apr;26(3):353-8. doi: http://dx.doi.org/10.1016/j.avsg.2011.10.014
5. Ladowski JM, Ladowski JS. Retrospective analysis of bovine pericardium (Vascu-Guard) for patch closure in carotid endarterectomies. Ann Vasc Surg. 2011 Jul;25(5):646-50. doi: http://dx.doi.org/10.1016/j.avsg.2010.11.008
Information about authors:
Shchastny A.T. – Doctor of Medical Sciences, professor, rector, Vitebsk State Order of Peoples’ Friendship Medical University;
Sauchuk M.M. – Candidate of Medical Sciences, associate professor of the Chair of Surgery of the Faculty for Advanced Training & Retraning, Vitebsk State Order of Peoples’ Friendship Medical University;
Kugaev M.I. – Candidate of Medical Sciences, teacher of the Chair of Surgery of the Faculty for Advanced Training & Retraning, Vitebsk State Order of Peoples’ Friendship Medical University;
Syatkovsky A.R. – head of department of surgical hepatology & transplantation, Vitebsk Regional Clinical Hospital;
Salmin I.M. – surgeon of the department of surgical hepatology & transplantation, Vitebsk Regional Clinical Hospital.
Correspondence address: Republic of Belarus, 210023, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Surgery of the Faculty for Advanced Training & Retraning.
E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Sauchuk Maksim M.
