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Techniques of Oncovascular Reconstruction of Portal and Mesenteric Veins during Pancreatic and Hepatobiliary Surgery.
Vasc Specialist Int
December 2024
Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Major vessel invasion, particularly involving the portal and superior mesenteric veins, poses significant challenges during the radical resection of hepatobiliary and pancreatic cancers. Oncovascular surgery is essential for curative outcomes, and often requires portomesenteric vein reconstruction. Techniques, such as lateral venorrhaphy, patch repair, end-to-end anastomosis, and interposition grafting, have been employed.
View Article and Find Full Text PDFPortomesenteric Venous Thrombosis after Pancreatic Cancer Surgery with Venous Resection and Reconstruction: Timing, Incidence, and Risk Factors.
Ann Surg
December 2024
Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.
Objective: To investigate the incidence and risk factors of portomesenteric venous thrombosis (PVT) after pancreatic cancer surgery with portomesenteric venous resection (PVR).
Summary Background Data: Pancreatic cancer surgery with PVR can be complicated by PVT, but the long-term associations, risk factors, and consequences of PVT have not been clearly elucidated.
Methods: This study included pancreatic cancer patients undergoing any type of pancreatic resection with PVR at the University of Colorado Hospital between January 2012 and June 2023.
ASO Visual Abstract: Surgical Outcome After Distal Pancreatectomy With and Without Portomesenteric Venous Resection in Patients with Pancreatic Adenocarcinoma : A Transatlantic Evaluation of Patients in North America, Germany, Sweden, and The Netherlands (GAPASURG).
Ann Surg Oncol
December 2024
Department of Surgery, Division of Surgical Oncology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Thrombotic complications following bariatric surgery: how medical tourism poses challenges to comprehensive care in obesity medicine.
Clin J Gastroenterol
December 2024
Department of Hepatology, Cambridge University Hospital, Cambridge, UK.
Article Synopsis
- * Two cases of porto-mesenteric venous thrombosis occurred in patients who traveled for surgery, requiring urgent medical interventions upon their return, including bowel resection for one patient.
- * There is a critical need for improved patient education and stricter regulations in medical tourism to prevent severe complications associated with these procedures.
Endovascular Management of Noncirrhotic Acute Portomesenteric Venous Thrombosis.
J Vasc Interv Radiol
January 2025
Section of Interventional Radiology, Department of Radiology, the University of Chicago Medical Center, Chicago, Illinois.
Article Synopsis
- Acute portomesenteric venous thrombosis (PVT) is a serious condition that can occur in individuals without liver cirrhosis, requiring careful management.
- Initial treatment often involves anticoagulation therapy, but researchers are still investigating the best interventional techniques available.
- The article also examines the relevance of acute PVT in today's health issues, including its connections to COVID-19, vaccine-related blood clots, and liver transplantation.
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