Chiu Kuan-Ming, Chu Shu-Hsun, Chen Jer-Shen, Li Shao-Jung, Chan Chih-Yang, Chen Kuo-Shin
Division of Cardiovascular Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan. kmchius@ yahoo.com.tw
Vasc Endovascular Surg. 2007 Apr-May;41(2):149-52. doi: 10.1177/1538574406297259.
The curative strategy for most pancreatic cancer is surgical resection. Extensive resection with lymph node dissection is the key to providing long-term survival. However, early diagnosis of pancreatic cancer is not always possible (ie, resectability is limited). One reason for such a nonresectable condition is vascular invasion or encasement. Portal vein involvement has been a contraindication for pancreatic cancer surgery for most general surgeons. Combining oncologic and vascular surgeons in the procedure has been a good solution. A multidisciplinary approach that includes general and vascular surgeons is appropriate in selected patients requiring vascular reconstruction at the time of pancreatectomy. The objective of this paper is to report a case in which spiral saphenous vein was used for portal vein reconstruction during pancreatic cancer resection.
大多数胰腺癌的治疗策略是手术切除。广泛切除并进行淋巴结清扫是实现长期生存的关键。然而，胰腺癌并不总是能够早期诊断（即可切除性有限）。出现这种不可切除情况的一个原因是血管侵犯或包绕。门静脉受累一直是大多数普通外科医生进行胰腺癌手术的禁忌证。在手术中联合肿瘤外科医生和血管外科医生是一个很好的解决办法。对于在胰十二指肠切除时需要进行血管重建的特定患者，采用包括普通外科医生和血管外科医生在内的多学科方法是合适的。本文的目的是报告一例在胰腺癌切除术中使用螺旋大隐静脉进行门静脉重建的病例。
