Bovine pericardium for portal vein reconstruction in abdominal surgery: a surgical guide and first experiences in a single center

Digestive Surgery
Maximilian JaraGero Puhl

Abstract

Resection and reconstruction of infiltrated vessels achieve resectability of extended pancreatic tumors. The aim of the present study was to assess the feasibility of bovine pericardium as graft material for the individualised portal vein reconstruction and demonstrate a surgical technique for abdominal vein repair. We performed a MEDLINE search to review the methods for complex abdominal vein reconstruction in the course of extended pancreatectomy. Moreover, clinical data of patients receiving portal vein reconstruction using a bovine pericardial patch at our institution were retrospectively analyzed. Based on the results of a review of the literature, autologous venous grafts using the internal jugular vein represent the most popular option for segmental portal vein reconstruction in case of impossible direct suture. At our center, segmental portal vein reconstruction with bovine pericardial patch in course of pancreatic surgery was performed in 4 patients. No case of vascular complications such as occlusion, segmental stenosis or thrombosis occurred. Our experience suggests a surgical procedure for an individual size-matched portal vein reconstruction using bovine pericardium. Although first results appear promising, prospec...Continue Reading

Citations

Jun 28, 2016·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Dyre KleiveKnut J Labori
Oct 7, 2016·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Wentao GaoYi Miao
Apr 6, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Masato YoshiokaYuzo Yamamoto
Aug 24, 2017·Transplant International : Official Journal of the European Society for Organ Transplantation·Andrea LauterioLuciano De Carlis
Jul 11, 2019·Journal of Tissue Engineering and Regenerative Medicine·Letizia FerroniBarbara Zavan
Feb 23, 2020·Biotechnology Journal·Ekaterina A GrebenikPeter S Timashev
Oct 27, 2018·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·T MalinkaM Bahra
Jul 2, 2020·Langenbeck's Archives of Surgery·Laurin BurlaNicolas Attigah
Dec 9, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Knut J LaboriPål-Dag Line
Jul 29, 2021·Journal of Tissue Engineering and Regenerative Medicine·Joakim HåkanssonKlas Österberg

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