Published in:
01-08-2012 | How I do it
Surgical Outcome of Autologous External Iliac Vein Grafting in Cases of Hepato-Pancreato-Biliary Malignancy: How I Do It
Authors:
Yuji Kaneoka, Atsuyuki Maeda, Masatoshi Isogai
Published in:
Journal of Gastrointestinal Surgery
|
Issue 8/2012
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Abstract
Introduction
Operative indications and surgical outcomes of an autologous graft usage for hepato-pancreato-biliary malignancy have not been adequately investigated. Sixty consecutive patients who underwent sleeve resection of the portal vein (PVR, n = 45) or hepatic vein (HVR, n = 15) and right external iliac vein (REIV) graft reconstruction were reviewed.
Results
Median graft length and reconstruction time were 3 cm (range, 2–7 cm) and 25 min (range, 16–40 min), respectively. Overall morbidity and surgical mortality were acceptable at 48 % and 1.6 %. Postoperative graft obstructions were seen in one patient with PVR and two patients with HVR; however, these patients did not suffer from the life-threatening complications.
Conclusion
REIV graft reconstruction shows acceptable morbidity and mortality. Our strategy may extend the operative indications for advanced disease and impaired liver function.