How we do it—the use of peritoneal patches for reconstruction of vena cava inferior and portal vein in hepatopancreatobiliary surgery

• DOI: 10.1007/s00423-022-02662-x
• Publication Date: 2022-09-22T04:03:31Z
• Authors: O. Radulova-Mauer...; M. Distler; C. Riediger; J. Weitz; T. Welsch; J. Kirchberg
• Keywords: Vena cava

Abstract Purpose Extended resections in hepatopancreatobiliary (HPB) surgery frequently require vascular resection to obtain tumor clearance. The use of alloplastic grafts may increase postoperative morbidity due septic or thrombotic complications. suitable autologous venous interponates (internal jugular vein, great saphenous vein) is associated with additional incisions. aim this study was report on our experience reconstruction using the introperative easily available parietal peritoneum, focusing key technical aspects. Methods All patients who underwent HPB peritoneal patches at department between January 2017 and November 2021 were included retrospective analysis median follow-up 2 months (IQR: 1–8 months). We focused aspects procedure evaluated patency perioperative morbidity. Results Parietal peritoneum (PPPs) applied for inferior vena cava (IVC) (13 patients) portal vein (PV) (4 during major hepatic ( n = 14) pancreatic 2) resections. There no cases bleeding anastomotic leakage. Following PV reconstruction, two showed stenosis after severe pancreatitis fistula bile leakage, respectively. In IVC, relevant complications occurred. Conclusions a patch IVC feasible, effective, low-cost alternative alloplastic, xenogenous, grafts. graft can be harvested tailored required size. More evidence still needed confirm safety regarding long-term results.