TITLE:
Application of Combined Vessel Resection with Reconstruction in Complex Hepatobiliary and Pancreatic Space-Occupying Lesions
AUTHORS:
Zhixin Wang, Yanyan Zhou, Wei Chen, Kai Qu, Runchen Miao, Xinsen Xu, Ruitao Wang, Chang Liu
KEYWORDS:
Combined Vessel Resection, Reconstruction, Space-Occupying Lesions
JOURNAL NAME:
Open Access Library Journal,
Vol.2 No.1,
January
29,
2015
ABSTRACT: Aim: To explore the value and prospects of the combined vessel resection with
reconstruction techniques in space-occupying lesion surgical treatment. Method:
We collected and analyzed clinical data of patients received combined with vessel
resection and reconstruction techniques surgery in department of hepatobiliary surgery
in our hospital from May 2007 to November 2012, and concluded experience in application
of vessel resection and artificial vessel reconstruction. Result: A total of 12
cases were collected. 9 of them were pancreatic lesion, and the other 3 were liver Echinococcus granulosus. The average operative
time of 12 cases was 6.1 ± 1.8 h, and the average blood loss was 385 ± 202 ml. The average intraoperative portal vein occlusion time was 31 ± 13 min. 1 case suffered
intraperitoneal hemorrhage within 48 h after surgery and other 2 suffered pancreatic
fistula. All of them were treated and cured; there was no infection, thrombosis
and other complications and perioperative deaths turned up before discharge. 4 cases
of pancreatic cancer patients after 4, 9, 35 and 37 died of tumor recurrence and
metastasis: 1 was lost and the rest are all alive. The follow-up time of these cases
was 3 - 58 months with an average level of 22.4 months. Conclusion: Occupying lesions
that cannot achieve traditional radical resection due to vessel invasion conventional
radical resection may be cured by combining with vessel resection and reconstruction
of the lesion resection surgery, and with good prospects worthy of promotion and
application of clinic; this technique should be applied to lesion in hepatobiliary
system.