Percutaneous Transhepatic Y-shaped Stent Placement in Portal-superior Mesenteric Vein Tumor Thrombosis Before Right Colectomy

2018 ◽  
Vol 28 (1) ◽  
pp. e30-e32
Author(s):  
Antonio Pesce ◽  
Andrea Boncoraglio ◽  
Antonio Basile ◽  
Stefano Puleo
Keyword(s):  
Stent Placement ◽  
Superior Mesenteric Vein ◽  
Right Colectomy ◽  
Mesenteric Vein ◽  
Tumor Thrombosis

Superior Mesenteric Vein Injury During Oncologic Right Colectomy: Current Vascular Repair Modalities

2017 ◽  
Vol 52 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Michael R. Freund ◽  
Ilya Goldin ◽  
Petachia Reissman
Keyword(s):  
Superior Mesenteric Vein ◽  
Academic Medical Center ◽  
Right Colectomy ◽  
Tissue Loss ◽  
Ptfe Graft ◽  
Vascular Repair ◽  
Severe Damage ◽  
Autologous Vein ◽  
Mesenteric Vein ◽  
Autologous Vein Graft

Purpose: To review the different vascular repair options of superior mesenteric vein (SMV) damage during oncologic right colectomy. Methods: This is a retrospective chart review of 5 cases in which severe damage to the SMV occurred during oncological right colectomy in an academic medical center. Results: During a 10-year study period, we encountered 5 cases in which severe damage to the SMV and its tributaries occurred. Two of the patients underwent primary venous repair for partial lacerations. The other 3 underwent interposition graft repair using a great saphenous vein (GSV) graft. Two of the grafts remained patent, while the third required replacement with a bovine pericardial patch. Conclusions: The SMV injury during oncologic right colectomy is a technically challenging injury. Based on our own experience and review of the literature, we formulated the following set of recommendations: (1) Venous ligation should be avoided, and revascularization should be attempted whenever feasible. (2) Primary venorrhaphy in cases of partial lacerations is the preferred treatment option. (3) End-to-end anastomosis is an efficient but seldom available repair option in the setting of complete SMV transection without segmental loss. (4) Autologous vein graft using the GSV is the preferred mode of repair during SMV injury with tissue loss. (5) Use of polytetrafluoroethylene (PTFE) graft should be avoided if possible due to greater risk of graft contamination. (6) A low threshold for reexploration depending on laboratory and imaging findings is advisable.

scholarly journals Ascending Colon Cancer with Pathologically Confirmed Tumor Thrombosis of Superior Mesenteric Vein: A Case Report

2019 ◽  
Vol 52 (5) ◽  
pp. 506-509 ◽  
Author(s):  
Sung Eun Kim ◽  
Sang Jin Lee ◽  
Jun Young Cha ◽  
Sang Won Yi ◽  
Tae Sun Kim ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Case Report ◽  
Superior Mesenteric Vein ◽  
Ascending Colon ◽  
Mesenteric Vein ◽  
Tumor Thrombosis ◽  
Ascending Colon Cancer

Superior Mesenteric Vein-First Approach to Robotic Complete Mesocolic Excision for Right Colectomy

2019 ◽  
Vol 62 (7) ◽  
pp. 894-897 ◽  
Author(s):  
Yun Yang ◽  
Songphol Malakorn ◽  
Syed Nabeel Zafar ◽  
T. Paul Nickerson ◽  
Lakhbir Sandhu ◽  
...  
Keyword(s):  
Superior Mesenteric Vein ◽  
Complete Mesocolic Excision ◽  
Right Colectomy ◽  
Mesenteric Vein ◽  
Mesocolic Excision
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