Spiral Saphenous Vein Graft for Major Pelvic Vessel Reconstruction during Exenteration Surgery

被引:24
|
作者
Brown, Kilian G. M. [1 ,2 ]
Koh, Cherry E. [1 ,2 ,3 ,4 ]
Solomon, Michael J. [1 ,2 ,3 ,4 ,5 ]
Choy, Ian C. [1 ,2 ,3 ]
Dubenec, Steven [6 ]
机构
[1] Univ Sydney, Sydney Local Hlth Dist, Surg Outcomes Res Ctr SOuRCe, Sydney, NSW 2006, Australia
[2] Univ Sydney, Sydney Sch Publ Hlth, Sydney, NSW 2006, Australia
[3] Royal Prince Alfred Hosp, Dept Colorectal Surg, Sydney, NSW 2050, Australia
[4] Sydney Local Hlth Dist, Inst Acad Surg RPA, Sydney, NSW, Australia
[5] Univ Sydney, Sydney, NSW 2006, Australia
[6] Royal Prince Alfred Hosp, Dept Vasc Surg, Sydney, NSW 2050, Australia
关键词
VENA-CAVA; RESECTION; REPLACEMENT;
D O I
10.1016/j.avsg.2015.01.028
中图分类号
R61 [外科手术学];
学科分类号
摘要
This article describes a great saphenous vein spiral graft technique for reconstruction of iliac vessels after en bloc resection during pelvic exenteration. Use of different size syringes as a scaffold allows the surgeon to construct autologous vascular interposition conduits of variable diameter to match the luminal size of the vessel requiring reconstruction. Autologous vascular grafts are preferred in exenteration surgery in which the operative field is commonly contaminated by concomitant bowel resection, which carries an increased risk of graft infection.
引用
收藏
页码:1323 / 1326
页数:4
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