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How-I-do-it: meso-caval shunt: a safe emergency option for venous reconstruction in pancreaticoduodenectomy

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Retrospective analysis shows meso-caval shunt facilitates R0 resection in pancreatic cancer, indicating its reliability in venous reconstruction.

All patients achieved R0 resection without mortality, confirming the efficacy of meso-caval shunt in complex venous reconstruction.
The mean operative duration was 510 minutes with a blood loss of 767 ml, indicating manageable intraoperative challenges.
Minor complications were observed in line with Clavien-Dindo grade I/II, suggesting the procedure's safety profile.
Median survival of 21 months reflects positive long-term outcomes for patients undergoing pancreaticoduodenectomy with meso-caval shunt.

Wei et al. (2025) studied this question.

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Retrospective analysis shows meso-caval shunt facilitates R0 resection in pancreatic cancer, indicating its reliability in venous reconstruction.