Tadafumi Asaoka, Kenta Furukawa, Manabu Mikamori, Satoshi Hyuga, Tomofumi Ohashi, Iwamoto Kazuya, Yujiro Nakahara, Atsushi Naito, Hidekazu Takahashi, Jeongho Moon, Mitsunobu Imasato, Chu Matsuda, Kazuhiro Nishikawa, Tsunekazu Mizushima
BACKGROUND: Advanced hepatobiliary-pancreatic cancer often invades critical blood vessels, including the portal vein (PV) and hepatic artery. Resection with tumor-free resection margins is crucial to achieving a favorable prognosis in these patients. Herein, we present our cases and surgical techniques for PV wedge resection with patch venoplasty using autologous vein grafts during surgery for pancreatic ductal adenocarcinoma (PDAC) and perihilar cholangiocarcinoma (PhCC). CASE PRESENTATION: Case 1: 73-year-old female patient with PDAC; underwent subtotal stomach-preserving pancreatoduodenectomy, with superior mesenteric vein wedge resection and venoplasty with the right gonadal vein...
January 26, 2024: Surgical Case Reports