지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.6
- 발행연도
- 2013.6
- 수록면
- 346 - 352 (7page)
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초록· 키워드
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Purpose: Tumor invasion to the portal vein (PV) or superior mesenteric vein (SMV) can be encountered during the surgery for pancreatic cancer. Venous reconstruction is required, but the optimal surgical methods and conduits remain in controversies. Methods: From January 2007 to July 2012, 16 venous reconstructions were performed during surgery for pancreatic cancer in 14 patients. We analyzed the methods, conduits, graft patency, and patient survival. Results: The involved veins were 14 SMVs and 2 PVs. The operative methods included resection and end-to-end anastomosis in 7 patients, wedge resection with venoplasty in 2 patients, bovine patch repair in 3 patients, and interposition graft with bovine patch in 1 patient. In one patient with a failed interposition graft with great saphenous vein (GSV), the SMV was reconstructed with a prosthetic interposition graft, which was revised with a spiral graft of GSV. Vascular morbidity occurred in 4 cases; occlusion of an interposition graft with GSV or polytetrafluoroethylene, segmental thrombosis and stenosis of the SMV after end-to-end anastomosis. Patency was maintained in patients with bovine patch angioplasty and spiral vein grafts. With mean follow-up of 9.8 months, the 6- and 12-month death-censored graft survival rates were both 81.3%. Conclusion: Many of the involved vein segments were repaired primarily. When tension-free anastomosis is impossible, the spiral grafts with GSV or bovine patch grafts are good options to overcome the size mismatch between autologous vein graft and portomesenteric veins. Further follow-up of these patients is needed to demonstrate long-term patency.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (19)
참고문헌 신청
1. [학술지(정기간행물)] - Stauffer JA / 2009 / Interposition graft with polytetrafluoroethylene for mesenteric and portal vein reconstruction after pancreaticoduodenectomy / Br J Surg 96 : 247 ~ 252
2. [학술지(정기간행물)] - Chu CK / 2010 / Prosthetic graft reconstruction after portal vein resection in pancreaticoduodenectomy: a multicenter analysis / J Am Coll Surg 211 : 316 ~ 324
3. [학술지(정기간행물)] - Hemming AW / 2004 / Combined resection of the liver and inferior vena cava for hepatic malignancy / Ann Surg 239 : 712 ~ 719
4. [학술지(정기간행물)] - DiPerna CA / 2002 / Concomitant vascular procedures for malignancies with vascular invasion / Arch Surg 137 : 901 ~ 906
5. [학술지(정기간행물)] - Yamamoto Y / 2009 / Reconstruction of the portal and hepatic veins using venous grafts customized from the bilateral gonadal veins / Langenbecks Arch Surg 394 : 1115 ~ 1121
2. [학술지(정기간행물)] - Chu CK / 2010 / Prosthetic graft reconstruction after portal vein resection in pancreaticoduodenectomy: a multicenter analysis / J Am Coll Surg 211 : 316 ~ 324
3. [학술지(정기간행물)] - Hemming AW / 2004 / Combined resection of the liver and inferior vena cava for hepatic malignancy / Ann Surg 239 : 712 ~ 719
4. [학술지(정기간행물)] - DiPerna CA / 2002 / Concomitant vascular procedures for malignancies with vascular invasion / Arch Surg 137 : 901 ~ 906
5. [학술지(정기간행물)] - Yamamoto Y / 2009 / Reconstruction of the portal and hepatic veins using venous grafts customized from the bilateral gonadal veins / Langenbecks Arch Surg 394 : 1115 ~ 1121
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UCI(KEPA) : I410-ECN-0101-2014-510-002571371