Journal of Gastrointestinal Surgery

, Volume 18, Issue 5, pp 917–921 | Cite as

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
Original Article

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.

Keywords

Pancreas cancer Splenic vein Sinistral hypertension Inferior mesenteric vein Venous resection 

Notes

Acknowledgments

The authors thank Leah Pitts RT (R) (CT) and Maureen Levenhagen RT (R) for image acquisition.

References

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Copyright information

© The Society for Surgery of the Alimentary Tract 2013

Authors and Affiliations

  • Charles H. C. Pilgrim
    • 1
  • Susan Tsai
    • 1
  • Parag Tolat
    • 2
  • Parag Patel
    • 2
  • William Rilling
    • 2
  • Douglas B. Evans
    • 1
  • Kathleen K. Christians
    • 1
  1. 1.Pancreatic Cancer Program, Department of Surgery, Division of Surgical OncologyThe Medical College of WisconsinMilwaukeeUSA
  2. 2.Department of RadiologyThe Medical College of WisconsinMilwaukeeUSA

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