How-I-do-it: meso-caval shunt: a safe emergency option for venous reconstruction in pancreaticoduodenectomy.

ABSTRACT: In pancreaticoduodenectomy, extensive involvement of the superior mesenteric vein (SMV) often complicates venous reconstruction, especially when artificial grafts are unavailable. In such cases, meso-caval shunt (MCS) emerges as a solution. This study aimed to evaluate the safety and efficacy of permanent MCS as both an emergency procedure and a planned surgical strategy. We retrospectively analyzed 8 consecutive patients undergoing pancreaticoduodenectomy with permanent MCS between July 2019 and January 2025 at our institution. Clinicopathological characteristics were identified using electronic medical records, and the same surgeon performed all surgeries. The study included seven cases of pancreatic cancer and one ampullary carcinoma (6 male, 2 females; age 54-71 years). The mean operat

SUBMITTER: Wei R 

PROVIDER: S-EPMC12378511 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature