期刊
JOURNAL OF GASTROINTESTINAL SURGERY
卷 18, 期 5, 页码 917-921出版社
SPRINGER
DOI: 10.1007/s11605-013-2428-6
关键词
Pancreas cancer; Splenic vein; Sinistral hypertension; Inferior mesenteric vein; Venous resection
Resection of the superior mesenteric vein (SMV)-portal vein (PV)-splenic vein (SV) confluence during pancreatectomy for pancreatic cancer requires management of the SV. Simple SV ligation can result in sinistral portal hypertension if the inferior mesenteric vein (IMV) enters the confluence and is thereby resected, or if the IMV is insufficient to drain the SV. We describe herein three patients whose clinical course confirms the importance of the IMV decompressing the SV to avoid sinistral hypertension.
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