Pancreatic Cancer Program, Department of Surgery, Division of Surgical Oncology, The Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
J Gastrointest Surg. 2014 May;18(5):917-21. doi: 10.1007/s11605-013-2428-6. Epub 2013 Dec 18.
Resection of the superior mesenteric vein (SMV)-portal vein (PV)-splenic vein (SV) confluence during pancreatectomy for pancreatic cancer requires management of the SV.
Simple SV ligation can result in sinistral portal hypertension if the inferior mesenteric vein (IMV) enters the confluence and is thereby resected, or if the IMV is insufficient to drain the SV. We describe herein three patients whose clinical course confirms the importance of the IMV decompressing the SV to avoid sinistral hypertension.
在胰腺癌的胰切除术过程中，需要切除肠系膜上静脉（SMV）-门静脉（PV）-脾静脉（SV）汇合处，这就需要处理 SV。
如果肠系膜下静脉（IMV）进入汇合处并被切除，或者 IMV 不足以引流 SV，则简单地结扎 SV 可能导致左侧门静脉高压。我们在此描述了三例患者，其临床过程证实了 IMV 对 SV 的减压作用，以避免左侧高血压的重要性。
