BioScience Trends. 2018;12(6):641-644. (DOI: 10.5582/bst.2018.01296)
Stent placement for benign portal vein stenosis following pancreaticoduodenectomy in a hybrid operating room.
Sawai Y, Kokudo T, Sakamoto Y, Takao H, Kazami Y, Nishioka Y, Akamatsu N, Arita J, Kaneko J, Hasegawa K
Benign portal vein stenosis is a rare complication following pancreaticoduodenectomy. Because a direct surgical approach to the portal vein is difficult due to severe adhesions following pancreaticoduodenectomy, portal vein stent placement is considered a good treatment option. Herein, we report 3 cases of severe portal vein stenosis following pancreaticoduodenectomy that were treated with portal venous stent placement in a hybrid operating room, combining a conventional operating room with an angiography suite. High-resolution images on digital subtraction angiography provide better contrast and support accurate stent placement compared to using a mobile C-arm.