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Journal of Gastrointestinal Surgery

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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

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.

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Title: 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
Publication date: 01-08-2012
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 8/2012
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-012-1933-3

At a glance: The STEP trials

Springer Medicine

Surgical Outcome of Autologous External Iliac Vein Grafting in Cases of Hepato-Pancreato-Biliary Malignancy: How I Do It

Abstract

Introduction

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Results

Conclusion

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