Centrifugal pump-assisted venous bypass between the superior mesenteric vein and the umbilical vein during portal vein resection

We describe herein our method of performing centrifugal pump-assisted venous bypass between the superior mesenteric vein and the umbilical vein, developed with the aim of preventing congestion of the small intestine and promoting strong and constant hepatic blood flow during portal vein resection. B...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 1996-01, Vol.26 (9), p.762-764
Main Authors: Kuroda, Y, Tanioka, Y, Ku, Y, Fukumoto, T, Tominaga, M, Saitoh, M, Suzuki, Y, Tseng, A, Saitoh, Y
Format: Article
Language:English
Subjects:
Carcinoma, Acinar Cell - surgery
Carcinoma, Ductal, Breast - surgery
Extracorporeal Circulation
Humans
Mesenteric Veins
Pancreatectomy - methods
Pancreatic Neoplasms - surgery
Portal Vein - surgery
Umbilical Veins
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Summary:We describe herein our method of performing centrifugal pump-assisted venous bypass between the superior mesenteric vein and the umbilical vein, developed with the aim of preventing congestion of the small intestine and promoting strong and constant hepatic blood flow during portal vein resection. By using this bypass method, portal vein resection and reconstruction was able to be carried out with ease and safety in six patients undergoing surgery for a pancreatic mass or cancer. No coagulation abnormalities, thrombocytopenia, leukocytopenia, severe liver dysfunction, or portal vein thrombosis developed in any of the patients postoperatively. Thus, we highly recommend this simple and reliable method of bypass when portal vein resection is being performed.
ISSN:0941-1291
1436-2813
DOI:10.1007/BF00312105