CADAVERIC VENOUS ALLOGRAFTS IN HEPATOBILIOPANCREATIC SURGERY
https://doi.org/10.16931/1995-5464.2016232-38
Abstract
Aim. To evaluate early and long-term outcomes of cadaveric venous allografts use in liver and pancreatic surgery.
Material and Methods. The study included 14 patients who underwent hepaticopancreatoduodenal surgery with cadaveric venous allografts. Control group consisted of 36 cases of vascular major liver resections and 26 pancreatoduodenectomies with portal vein resection without application of venous allografts.
Results. Mean age was 52.3 (48;59) years, man:women ratio — 9:5. In 11 (79%) of 14 cases venous allograft was used after circular resection of inferior vena cava, in other 3 patients venous patch was sutured to restore vascular integrity after tangential resection. Hospital mortality rate was 7.1%, one-year survival — 85.7%, follow-up period — 13.5 (6;22) months. There were no early and remote vascular complications.
Conclusion. The use of cold-stored venous allografts is effective in liver and pancreatic surgery to expand surgical opportunities and to decrease the risk of postoperative vascular complications
About the Authors
A. E. Shcherba
Republican Scientific and Practical Center of Organ and Tissue Transplantation, “9th City Clinical Hospital”
Belarus
Shcherba Alexey Evgen’evich — Cand. of Med. Sci., Associate Professor, Head of Transplantology and HPB Surgery Department, Republican Scientific and Practical Center of Organ and Tissue Transplantation
Belarus
Shcherba Alexey Evgen’evich — Cand. of Med. Sci., Associate Professor, Head of Transplantology and HPB Surgery Department, Republican Scientific and Practical Center of Organ and Tissue Transplantation
D. Yu. Efimov
Republican Scientific and Practical Center of Organ and Tissue Transplantation, “9th City Clinical Hospital”
Belarus
Efimov Denis Yur’evich — Surgeon of the Republican Scientific and Practical Center of Organ and Tissue Transplantation
Belarus
Efimov Denis Yur’evich — Surgeon of the Republican Scientific and Practical Center of Organ and Tissue Transplantation
D. P. Kharkov
Republican Scientific and Practical Center of Organ and Tissue Transplantation, “9th City Clinical Hospital”
Belarus
Khar'kov Dmitry Petrovich — Surgeon of the Republican Scientific and Practical Center of Organ and Tissue Transplantation
Belarus
Khar'kov Dmitry Petrovich — Surgeon of the Republican Scientific and Practical Center of Organ and Tissue Transplantation
O. O. Rummo
Republican Scientific and Practical Center of Organ and Tissue Transplantation, “9th City Clinical Hospital”
Belarus
Belarus
Rummo Oleg Olegovich — Doct. of Med. Sci., Professor, Head of Republican Scientific and Practical Center of Organ and Tissue Transplantation
For correspondence: Rummo Oleg Olegovich — 8, Semashko str., Minsk, 220045, Belarus.
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Review
For citations:
Shcherba A.E., Efimov D.Yu., Kharkov D.P., Rummo O.O. CADAVERIC VENOUS ALLOGRAFTS IN HEPATOBILIOPANCREATIC SURGERY. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(2):32-38. (In Russ.) https://doi.org/10.16931/1995-5464.2016232-38
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