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01-04-2004 | Original Article

Reconstruction of hepatic or portal veins by use of newly customized great saphenous vein grafts

Authors: Yoshihiro Sakamoto, Junji Yamamoto, Akio Saiura, Rintaro Koga, Norihiro Kokudo, Tomoo Kosuge, Toshiharu Yamaguchi, Tetsuichiro Muto, Masatoshi Makuuchi

Published in: Langenbeck's Archives of Surgery | Issue 2/2004

Abstract

Background and aims

Segmental resection of major hepatic veins or the portal vein is sometimes required if one is to secure adequate surgical margins from hepatic or pancreatic malignancies. An external iliac vein is widely sacrificed as a vein graft to replace the defect, but this is associated with postoperative edema of the lower leg. We developed a new method for constructing the great saphenous vein to interpose the hepatic or portal veins.

Patients and methods

The great saphenous vein was divided transversely into three sections, which were aligned side-to-side. The three pieces were anastomosed to make a sheet 3 × 2 cm, which was rolled up into a cylindrical form of approximately 1 cm in diameter and 2 cm in length. We applied the finished vein grafts to interpose the major hepatic veins in three patients with metastatic liver tumors and the portal vein in two patients with pancreatic malignancies in cylindrical form and to reconstruct the portal vein in one patient with a pancreas cancer, using a three-row sheet as a patch graft.

Results

No patient developed venous thrombosis of the graft or edema of the lower leg.

Conclusions

The newly customized vein graft was safe and useful for the reconstruction of the major hepatic or portal veins.

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Title: Reconstruction of hepatic or portal veins by use of newly customized great saphenous vein grafts
Authors: Yoshihiro Sakamoto
Junji Yamamoto
Akio Saiura
Rintaro Koga
Norihiro Kokudo
Tomoo Kosuge
Toshiharu Yamaguchi
Tetsuichiro Muto
Masatoshi Makuuchi
Publication date: 01-04-2004
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 2/2004
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-003-0452-9

At a glance: The STEP trials

Springer Medicine

Reconstruction of hepatic or portal veins by use of newly customized great saphenous vein grafts

Abstract

Background and aims

Patients and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background and aims

Patients and methods

Results

Conclusions

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