Necessity and Reconstruction Methods of Splenic Vein After Resection of the Portomesenteric Junction During Resections for Pancreatic Cancer
Abstract
:1. Introduction
What Is the Importance of SV Management in the Context of Contemporary Pancreatic Cancer Care?
2. Methodology
Definition of Sinistral Portal Hypertension
3. Methods to Address SV Involvement
3.1. Splenic Vein Ligation
3.2. Splenic Vein Reconstruction
4. Management of Symptomatic Sinistral Portal Hypertension
5. Discussion
6. Conclusions
7. Future Directions
Author Contributions
Funding
Conflicts of Interest
Abbreviations
SV | Splenic Vein |
PMJ | Porto-mesenteric venous Junction |
SVL | Splenic Vein Ligation |
SVR | Splenic Vein Reconstruction |
CT | Computed Tomography |
SPH | Sinistral Portal Hypertension |
LGV | Left Gastric Vein |
IMV | Inferior Mesenteric Vein |
MCV | Middle Colic Vein |
SRCV | Superior Right Colic Vein |
SR | Splenorenal |
GI | Gastrointestinal |
SMV | Superior Mesenteric Vein |
PV | Portal Vein |
IJV | Internal Jugular Vein |
LRV | Left Renal Vein |
N/A | Not Applicable |
References
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Author et al. | Year | SVL/SVR (No. of Patients) | SPH § (No. of Patients) | GI Bleeding (No. of Patients) | Time to GI Bleeding |
---|---|---|---|---|---|
Strasberg et al. [2] | 2011 | 5 SVL | 5 | 0 | N/A |
Ferreira et al. [19] | 2011 | 11 SVL 16 SVR | Numbers not reported (No significant diff. in plt no. or splenic volume) | 0 | N/A |
Christians et al. [6] | 2013 | 1 SVL 9 SVR Ø | Not reported | 1 SVL | 2 years |
Pilgrim et al. [34] | 2014 | 3 SVL | 3 | 2 | 1–2 years |
Ono et al. [35] | 2015 | 43 SVL | 27 | 3 | 2–3 years |
Hattori et al. [36] | 2015 | 81 SVL | Numbers not reported (low plt/more collaterals in first 6 months) | 1 | Not reported |
Rosado et al. [5] | 2017 | 15 SVL | 14 | 0 | N/A |
Tanaka et al. [37] | 2017 | 29 SVL | 8 | 0 | N/A |
Ono et al. [8] | 2019 | 30 SVR | 8 º | 1 | 40 months |
Tanaka et al. [12] | 2019 | 87 SVL 31 SVR | 33 SVL 11 SVR | 5 SVL | Median 17 months (7–23 months) |
Shiihara et al. [3] | 2020 | 36 SVL | 20 | 0 | N/A |
Yu et al. [4] | 2020 | 43 SVL | 32 | 0 $ | N/A |
Addeo et al. [29] | 2020 | 36 SVL 78 SVR | 29 SVL 39 SVR | 1 SVL | Not reported (patient received treatment at 6 years) |
Zhang et al. [20] | 2021 | 13 SVL 24 SVR | 4 SVL 0 SVR | 0 | N/A |
Matsuki et al. [24] | 2021 | 11 SVL 3 SVR | Numbers not reported (splenic volume higher in SVL group) | 0 | N/A |
Al-Saeedi et al. [31] | 2021 | 10 SVR | 0 | 0 | N/A |
Mizuno et al. [17] | 2021 | 227 SVL 24 SVR | 84 SVL 9 SVR | 9 SVL 1 SVR | Within 3 years (one case within 6 months) |
Kim SH et al. [22] | 2022 | 32 SVL ^ | 9 | 1 | Not reported |
Wang et al. [7] | 2024 | 23 SVL 43 SVR | 8 SVL 3 SVR | 2 SVL 0 SVR | Not reported (likely within 6 months) |
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Alarabiyat, M.; Chatzizacharias, N. Necessity and Reconstruction Methods of Splenic Vein After Resection of the Portomesenteric Junction During Resections for Pancreatic Cancer. Curr. Oncol. 2025, 32, 316. https://doi.org/10.3390/curroncol32060316
Alarabiyat M, Chatzizacharias N. Necessity and Reconstruction Methods of Splenic Vein After Resection of the Portomesenteric Junction During Resections for Pancreatic Cancer. Current Oncology. 2025; 32(6):316. https://doi.org/10.3390/curroncol32060316
Chicago/Turabian StyleAlarabiyat, Moath, and Nikolaos Chatzizacharias. 2025. "Necessity and Reconstruction Methods of Splenic Vein After Resection of the Portomesenteric Junction During Resections for Pancreatic Cancer" Current Oncology 32, no. 6: 316. https://doi.org/10.3390/curroncol32060316
APA StyleAlarabiyat, M., & Chatzizacharias, N. (2025). Necessity and Reconstruction Methods of Splenic Vein After Resection of the Portomesenteric Junction During Resections for Pancreatic Cancer. Current Oncology, 32(6), 316. https://doi.org/10.3390/curroncol32060316