Ligation Of Superior Mesentary Vein And Portal To Splenic Vein Anastomosis After Superior Mesenteric-Portal Vein Confluence Resection During Pancreaticoduodenectomy-Case Report

Conclusion The lessons we learned are (1) Before SMPV confluence resection, internal jugular vein graft should be ready for reconstruction. (2) Synthetic graft is an alternative for internal jugular vein graft. (3) Direct portal vein to SMV anastomosis can be achieved by mobilizing liver. (4) It is possible that venous collaterals secondary to SMV tumor obstruction may have allowed this patient’s post-operative survival.
Source: Annals of Medicine and Surgery - Category: Journals (General) Source Type: research