Portal vein replacement by hepatic vein transposition

Successful reconstruction after portal vein resection in extended liver surgery has been performed by end-to-end anastomosis, patch, or graft interposition. Previously described techniques to obtain venous grafts for portal replacement necessarily have either an additional incision or an unsuitable...

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Bibliographic Details
Published in:The American journal of surgery 1997-09, Vol.174 (3), p.353-354
Main Authors: Lorf, Thomas, Hanack, Ulrich, Ringe, Burckhardt
Format: Article
Language:English
Subjects:
Anastomosis
Biological and medical sciences
Hepatic vein
Hepatic Veins - transplantation
Humans
Liver
Liver - surgery
Liver Neoplasms - surgery
Liver, biliary tract, pancreas, portal circulation, spleen
Medical sciences
Portal vein
Portal Vein - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Surgical Procedures, Operative - methods
Transposition
Tumors
Veins
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Description
Summary:Successful reconstruction after portal vein resection in extended liver surgery has been performed by end-to-end anastomosis, patch, or graft interposition. Previously described techniques to obtain venous grafts for portal replacement necessarily have either an additional incision or an unsuitable diameter. We developed a new method of portal vein replacement using the excised hepatic vein. This technique can be applied in major liver resections for tumors infiltrating the portal vein that have a safe distance from the hepatic vein.
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(97)00097-4