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논문 기본 정보

자료유형
학술저널
저자정보
Gautham M. S. (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Senthil Gnanasekaran (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Kalayarasan Raja (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Biju Pottakkat (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER))
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제25권 제1호
발행연도
2021.2
수록면
122 - 125 (4page)

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초록· 키워드

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Pancreatic cancers exhibit a surgical challenge, in light of frequent vascular involvement. In absence of metastatic spread, vascular invasion is the predominant limiting factor for determining the resectability. With progression of time vascular involvement is no longer considered a surgical contraindication. However these complex procedures are fraught with technical challenges. Portal clamping required for vascular resection and reconstruction results in hepatic ischemia and visceral congestion. In order to mitigate these untoward effects, surgeons have tried diverse techniques including venous shunts. Venous shunting facilitates the resection and allows for an enhanced exposure and a safe procedure. Previously described techniques were either cumbersome or failed to maintain portal flow. We present a technique of transient mesoportal shunt, to facilitate vascular resection during pancreatoduodenectomy. This technique is both simple and maintains portal flow throughout the procedure preventing both hepatic ischemia and visceral congestion.

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INTRODUCTION
CASE REPORT
TECHNIQUE DESCRIPTION
DISCUSSION
CONCLUSION
REFERENCES

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