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Feasibility of bile duct as venous graft for venous reconstruction in pancreatic surgery: An animal experimental study

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机构: [1]Pancreas Center, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China [2]Department of Hepatobiliary Surgery, Lianyungang Second People’s Hospital, Lianyungang, China [3]Department of General Surgery, Nanjing Tongren Hospital, School of Medicine, Southeast University, Nanjing, China [4]Department of General Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China
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关键词: Pancreaticoduodenectomy bile duct jugular vein portal vein venous reconstruction

摘要:
Objective Pancreatic cancer is a kind of high malignant tumor with a poor prognosis. The aim is to determine whether the dilated bile duct can be used to reconstruct the vessels. Methods An animal model of jugular vein and portal vein reconstruction was established using the bile duct. A total of 20 landrace pigs were selected to undergo jugular vein reconstruction or portal vein reconstruction using the bile duct as a patch or bridge. The patency was evaluated by color Doppler, the reconstructed segments were removed and examined macroscopically and histologically at specified intervals, and the results were compared with synthetic vessels (IMPRA straight, 10s03-19). Results The lumen was patent, although a low level thrombosis was observed when jugular or portal vein patching was used. For bridging, stenosis of the lumen was observed, and necrosis appeared when the bile duct was used for bridging, indicating that it is feasible to reconstruct the jugular vein and portal vein with a bile duct patch. However, the bridge was not feasible possibly due to loss of blood supply, and consequent necrosis and fibrosis. Conclusion The bile duct is technically feasible, but the outcomes are unsatisfactory.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 外周血管病
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 外周血管病
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出版当年[2018]版:
Q4 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q4 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Pancreas Center, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China [2]Department of Hepatobiliary Surgery, Lianyungang Second People’s Hospital, Lianyungang, China
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通讯机构: [1]Pancreas Center, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China [*1]The First Affiliated Hospital with Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China.
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