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. 2023 Jul 17;110(8):901-904.
doi: 10.1093/bjs/znac363.

Pancreatectomy with resection and reconstruction of the superior mesenteric artery

Ugo Boggi  1 , Niccolò Napoli  1 , Emanuele F Kauffmann  1 , Sara Iacopi  1 , Michael Ginesini  1 , Cesare Gianfaldoni  1 , Daniela Campani  2 , Gabriella Amorese  3 , Fabio Vistoli  1
Affiliations

Pancreatectomy with resection and reconstruction of the superior mesenteric artery

Ugo Boggi et al. Br J Surg. .
No abstract available

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Figures

Figure 1.
Figure 1.
The SMA (n. 1) and the CT/HA (n. 3) are reconstructed using two jump grafts of the greater saphenous vein. The superior mesenteric/portal vein (n = 2) was reconstructed using an interpositional conduit made of the left internal jugular vein. SMA, superior mesenteric artery CT/HA, celiac trunk/hepatic artery.
Figure 2.
Figure 2.
In this patient the left gastric vein (shown between dotted lines) was drained into the inferior vena to relieve gastric congestion (end-to-side anastomosis; n.1), despite the splenic vein had already been anastomosed end-to-end to an enlarged left adrenal vein (n.3). The patient also underwent superior mesenteric/portal vein resection (end-to-end anastomosis; triangle) and celiac trunk resection. The spleen and liver were revascularized using the splenic artery. The proximal stump of the splenic artery was anastomosed end-to-end to the hepatic artery (n = 2), and the stump of the celiac trunk was anastomosed to the posterior aspect of the splenic artery (celiac trunk anastomosis not visible in this picture owing to splenic artery overlap).
See this image and copyright information in PMC

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