Bifurcated allogeneic vein grafts significantly reduce sinistral portal hypertension (SPH) in pancreatic carcinoma patients post-pancreaticoduodenectomy with spleno-mesenterico-portal (SMP) confluence resection. Retrospective analysis showed a lower SPH incidence in the reconstruction group (8.1% vs. 36.4%). Prospective data supported this, with only 6.7% SPH in patients undergoing splenic vein reconstruction. Key indicators like platelet count, spleen volume, and esophagogastric varices grade improved in the reconstruction group.
• Why it matters: SPH after surgery compromises recovery and increases patient complications.
Journal Article by Wang J, Lyu SC (…) Lang R et 5 al. in Int J Surg
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