Reconstruction of the hepatic and portal veins using a patch graft from the right ovarian vein

Kubota, Keiichi; Makuuchi, Masatoshi; Sugawara, Yasuhiko; Midorikawa, Yutaka; Sakamoto, Yoshihiro; Takayama, Tadatoshi; Harihara, Yasushi

« Previous Next »The American Journal of Surgery
Volume 176, Issue 3 , Pages 295-297, September 1998

Reconstruction of the hepatic and portal veins using a patch graft from the right ovarian vein

Keiichi Kubota, MD, PhD
- Second Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
- Requests for reprints should be addressed to Keiichi Kubota, MD, PhD, Second Department of Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan
Masatoshi Makuuchi, MD, PhD
- Second Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
Yasuhiko Sugawara, MD
- Second Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
Yutaka Midorikawa, MD
- Second Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
Yoshihiro Sakamoto, MD
- Second Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
Tadatoshi Takayama, MD, PhD
- Second Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
Yasushi Harihara, MD, PhD
- Second Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan

Received 16 February 1997; received in revised form 13 May 1998; accepted 13 May 1998.

Abstract

We describe a patch-graft technique using the right ovarian vein for reconstruction of the right hepatic and portal veins after resection in hepatectomy and pancreatoduodenectomy in female patients. After partial resection of the right hepatic vein or portal vein for removing either hepatic or pancreatic tumors, the defects were covered by a patch graft from the right ovarian vein. The proximal part of the vein, 5 cm in length, was harvested, divided longitudinally, and then divided into two equal parts, which were sutured together to give a patch measuring 2.5 × 2.0 cm. This technique can be applied for reconstruction after partial resection of the hepatic or portal vein in hepatectomy and pancreatoduodenectomy.