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Vasc Endovascular Surg. 2007 Apr-May;41(2):149-52.

Spiral saphenous vein graft for portal vein reconstruction in pancreatic cancer surgery.

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  • 1Division of Cardiovascular Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan. kmchius@


The curative strategy for most pancreatic cancer is surgical resection. Extensive resection with lymph node dissection is the key to providing long-term survival. However, early diagnosis of pancreatic cancer is not always possible (ie, resectability is limited). One reason for such a nonresectable condition is vascular invasion or encasement. Portal vein involvement has been a contraindication for pancreatic cancer surgery for most general surgeons. Combining oncologic and vascular surgeons in the procedure has been a good solution. A multidisciplinary approach that includes general and vascular surgeons is appropriate in selected patients requiring vascular reconstruction at the time of pancreatectomy. The objective of this paper is to report a case in which spiral saphenous vein was used for portal vein reconstruction during pancreatic cancer resection.

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