2025 Volume 45 Issue 6 Pages 582-585
The patient was a man in his 70s who underwent pancreaticoduodenectomy with portal vein resection for pancreatic head cancer. Initially, the plan was to perform portal vein reconstruction by end-to-end anastomosis. However, during the procedure, the portal vein ruptured, making the anastomosis difficult. To prevent intestinal blood flow stagnation due to prolonged portal vein blood flow obstruction, we created a temporary shunt between the superior mesenteric vein and the inferior vena cava and performed portal vein reconstruction using a right superficial femoral vein graft. On the fifth postoperative day, portal vein thrombosis was detected, and on the thirteenth day, the graft became completely occluded, necessitating emergency thrombectomy and re-reconstruction of the portal vein. This report includes a discussion of portal vein reconstruction using a graft and early postoperative portal vein thrombosis, along with a review of the relevant literature.
