Optimal Management of the Splenic Vein at the Time of Venous Resection for Pancreatic Cancer: Importance of the Inferior Mesenteric Vein

Charles H.C. Pilgrim, Susan Tsai, Parag Tolat, Parag Patel, William Rilling, Douglas B. Evans, Kathleen K. Christians

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Background: Resection of the superior mesenteric vein (SMV)-portal vein (PV)-splenic vein (SV) confluence during pancreatectomy for pancreatic cancer requires management of the SV. Discussion: 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.

Original languageEnglish (US)
Pages (from-to)917-921
Number of pages5
JournalJournal of Gastrointestinal Surgery
Volume18
Issue number5
DOIs
StatePublished - May 2014

Keywords

  • Inferior mesenteric vein
  • Pancreas cancer
  • Sinistral hypertension
  • Splenic vein
  • Venous resection

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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