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.

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