Article
Gastroenterology & Hepatology
Songping Cui, Hanxuan Wang, Jincan Huang, Qiang He, Shaocheng Lyu, Ren Lang
Summary: This study retrospectively analyzed patients who underwent PD combined with PVR and found that AV reconstruction is an independent risk factor for PVT. The occurrence of PVT is significantly correlated with tumor recurrence and overall survival in pancreatic cancer patients.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Surgery
Yuichi Nagakawa, Jin-Young Jang, Manabu Kawai, Song Cheol Kim, Yosuke Inoue, Ryusei Matsuyama, Jin Seok Heo, Masayuki Honda, Teiichi Sugiura, Masayuki Ohtsuka, Shugo Mizuno, Wooil Kwon, Kenichiro Uemura, Ho-Seong Han, Motokazu Sugimoto, Keiichi Okano, Masafumi Nakamura, Keita Wada, Yusuke Kumamoto, Hiroaki Osakae, Akihiko Tsuchida, Yoo-Seok Yoon, Joon Seong Park, Hiroki Yamaue, Itaru Endo
Summary: The safety and survival benefits of portal vein and/or superior mesenteric vein (PV/SMV) resection with jejunal vein resection (JVR) for pancreatic ductal adenocarcinoma (PDAC) were investigated in this study. The results showed that there were no significant differences in postoperative complications and mortality between the three groups. Additionally, there were no significant differences in overall survival between the groups, especially for patients who received preoperative therapy. Therefore, PV/SMV resection with JVR can be safely performed and may provide satisfactory overall survival when combined with adjuvant therapy.
Article
Surgery
Alessandro Fogliati, Guido Fiorentini, Roberto Alva-Ruiz, Amro M. Abdelrahman, Andrea Zironda, Isaac T. Lynch, Rory L. Smoot, Patrick P. Starlinger, Sean P. Cleary, Michael L. Kendrick, Mark J. Truty
Summary: This study retrospectively analyzed the long-term patency outcomes of using left renal vein (LRV) for reconstruction of portal or superior mesenteric vein (PV-SMV) during pancreatic tumor resection. The results showed that LRV reconstruction resulted in a high patency rate and had a marginal impact on renal function, suggesting it is a safe and potentially ideal option for PV-SMV reconstruction in pancreatic surgery.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2023)
Article
Surgery
Yoshihiro Ono, Yu Takahashi, Masayuki Tanaka, Kiyoshi Matsueda, Makiko Hiratsuka, Yosuke Inoue, Hiromichi Ito, Akio Saiura
Summary: This study demonstrates that measuring splenic vein pressure can predict sinistral portal hypertension in patients undergoing pancreaticoduodenectomy with porto-mesenterico-splenic confluence resection. For patients without splenic vein drainage after surgery, splenic vein pressure exceeding 20 mmHg after clamping and a pressure difference of more than 10 mmHg before and after clamping are feasible indicators for splenic vein reconstruction to prevent sinistral portal hypertension.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Surgery
Shugo Mizuno, Hiroyuki Kato, Hiroki Yamaue, Tsutomu Fujii, Sohei Satoi, Akio Saiura, Yoshiaki Murakami, Masayuki Sho, Masakazu Yamamoto, Shuji Isaji
Summary: The study revealed that dividing the splenic vein during pancreaticoduodenectomy increases the incidence of variceal formation and bleeding, as well as causing thrombocytopenia in patients. These findings suggest the importance of careful consideration of splenic vein management during surgery.
Review
Oncology
Yoshihiro Ono, Yosuke Inoue, Tomotaka Kato, Kiyoshi Matsueda, Atsushi Oba, Takafumi Sato, Hiromichi Ito, Akio Saiura, Yu Takahashi
Summary: In pancreaticoduodenectomy (PD) for pancreatic cancer, extensive portal vein resection may sometimes be necessary for curative resection, including porto-mesenterico-splenic confluence (PMSC). However, long-term survival patients may develop sinistral portal hypertension as a late-onset postoperative complication.
Article
Surgery
Jiabin Jin, Shih-min Yin, Yuanchi Weng, Mengmin Chen, Yusheng Shi, Xiayang Ying, Georgios Gemenetzis, Kai Qin, Jun Zhang, Xiaxing Deng, Chenghong Peng, Baiyong Shen
Summary: This study compared the outcomes of venous resection and reconstruction (VR) in robotic-assisted and open pancreaticoduodenectomy (OPD) in patients with pancreatic ductal adenocarcinoma (PDAC). The results showed similar reconstructed venous patency, postoperative complications, and 90-day mortality between the two groups, but the robotic group had a lower lymph node resection rate.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Surgery
Ryota Matsuki, Hirokazu Momose, Masaharu Kogure, Yutaka Suzuki, Toshiyuki Mori, Yoshihiro Sakamoto
Summary: This study investigated the impact of SV ligation during PD on the occurrence of LPH, presenting a reconstruction technique for SV. Results showed a significantly higher splenic volume ratio in the SV ligation group compared to the SV preservation group, but no significant differences in the incidence of newly formed venous collaterals or platelet counts between them.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Article
Oncology
Zhi-Peng Zhou, Xiang-Long Tan, Zhi-Ming Zhao, Yuan-Xing Gao, Yu-Yao Song, Yu-Ze Jia, Cheng-Gang Li
Summary: This study analyzed the perioperative and demographic outcomes of robotic resection and open resection of duodenal gastrointestinal stromal tumors (DGISTs) and found that robotic resection is feasible and has equivalent therapeutic effect to open surgery.
WORLD JOURNAL OF GASTROINTESTINAL ONCOLOGY
(2021)
Article
Surgery
Emanuele F. Kauffmann, Niccolo Napoli, Michael Ginesini, Cesare Gianfaldoni, Fabio Asta, Alice Salamone, Allegra Ripolli, Armando Di Dato, Fabio Vistoli, Gabriella Amorese, Ugo Boggi
Summary: In this study, we provided a detailed description of the technical challenges associated with robotic pancreatoduodenectomy with vein resection (RPD-VR) and shared tips and tricks for a successful operation. Our results showed that RPD-VR can be effectively performed using different vascular techniques for different types of vein resection. We strongly recommend that RPD-VR should be performed by experienced surgeons at high volume centers.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Rui Tang, Wei Yang, Yucheng Hou, Lihan Yu, Guangdong Wu, Xuan Tong, Jun Yan, Qian Lu
Summary: AR technology can assist surgeons in determining the extent of SMV involvement for PD with SMV reconstruction. Virtual images of anatomical structures are superimposed on the surgical field to provide navigational assistance to identify boundaries of tumor invasion. Postoperative pathology confirmed R0 resections for all patients.
GASTROENTEROLOGY RESEARCH AND PRACTICE
(2021)
Review
Surgery
Alberto Aiolfi, Francesca Lombardo, Gianluca Bonitta, Piergiorgio Danelli, Davide Bona
Summary: A meta-analysis compared the short-term surgical and oncologic outcomes of Open Pancreaticoduodenectomy (OpenPD), Laparoscopic Pancreaticoduodenectomy (LapPD), and Robotic Pancreaticoduodenectomy (RobPD). LapPD and RobPD showed similar outcomes to OpenPD in terms of mortality, postoperative pancreatic fistula, and severe complications, but had advantages in reduced hospital stay, blood loss, and overall complications. Minimally invasive techniques may improve outcomes for periampullary and pancreatic head neoplasms.
UPDATES IN SURGERY
(2021)
Article
Gastroenterology & Hepatology
Min Kyu Sung, Ki Byung Song, Sarang Hong, Yejong Park, Bong Jun Kwak, Eunsung Jun, Woohyung Lee, Jae Hoon Lee, Dae Wook Hwang, Song Cheol Kim
Summary: This study evaluated the feasibility and safety of laparoscopic vein resection in pancreatic head cancer with PV/SMV invasion, and compared the survival rate between laparoscopic surgery and open surgery. The results showed no significant differences in complications, tumor recurrence, pathological outcomes, and disease-free survival between the two groups. The surgical method was not an independent prognostic factor for disease-free survival.
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
(2023)
Article
Gastroenterology & Hepatology
Samer AlMasri, Jasmine Kraftician, Amer Zureikat, Alessandro Paniccia
Summary: Robotic-assisted pancreaticoduodenectomy (RPD) is a commonly used approach for operable periampullary malignancies, with better oncologic outcomes compared to open surgery. Bleeding can be a significant challenge, especially in cases requiring venous resection and reconstruction. This article provides a video compilation demonstrating a safe approach to venous resections during RPD and offers techniques and tips for controlling bleeding.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Surgery
Shoichi Irie, Ryuji Yoshioka, Hiroshi Imamura, Yoshihiro Ono, Takafumi Sato, Yosuke Inoue, Hiromichi Ito, Yoshihiro Mise, Yu Takahashi, Akio Saiura
Summary: The parachute technique is a safe and feasible venous reconstruction procedure suitable for use in cases undergoing pancreaticoduodenectomy when a long section of portal vein and/or superior mesenteric vein must be resected.
LANGENBECKS ARCHIVES OF SURGERY
(2022)