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Portal Vein Resection (PVR) during Pancreatico-duodeneactomy (PD) for #PancreaticCancer
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ISGPS types, technical points, images, videos 1/9
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@ISGPS_news @IHPBA @EAHPBA @TeamSurgery247 @hpb_so @me4_so @Cirbosque @surgery_hps
A thread..
ISGPS types, technical points, images, videos 1/9
#HPBtwitter, please add what i have missed
@ISGPS_news @IHPBA @EAHPBA @TeamSurgery247 @hpb_so @me4_so @Cirbosque @surgery_hps
Type 1 PVR - sleeve resection of vein wall, less common. Most often site is at the PSPDV insertion in lateral PV border (during early phase of tumor extention in vein)
The other common situation is during distal resections,when SV is involved flush to its insertion.
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The other common situation is during distal resections,when SV is involved flush to its insertion.
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Type II PVR - Part of the wall is excised but primary closure (type I) is not feasible. The patch recon is more tedious than end to end recon. Hence most suitable cases are lateral/posterior wall involvements at the level of S-P confluence as splenic vein can be preserved.
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