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- W2073601913 abstract "Recommendations for anticoagulation following major venous reconstruction for pancreatic adenocarcinoma (PA) are not clearly established. The aim of our study was to find out the relation between postoperative anticoagulant treatment and thrombosis rate after portal venous resection. Materials and methods . Between 1986 and 2006, twenty seven portal vein resections were performed associated with pancreaticoduodenectomies (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>27</mml:mn></mml:math>) (PD).We defined four types of venous resection: type I was performed 1 cm above the confluent of the superior mesenteric vein (SMV) (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>12</mml:mn></mml:math>); type II lateral resection and venorrhaphy at the level of the confluent SMV (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>12</mml:mn></mml:math>); type III (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:math>) resulted from a primary end-to-end anastomosis above confluent and PTFE graph was used for reconstruction for type IV (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>2</mml:mn></mml:math>). Curative anticoagulant treatment was always indicated after type IV (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>2</mml:mn></mml:math>) resection, and after resection of type II when the length of venous resection was longer than<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML><mml:mo>≥</mml:mo></mml:math>2 cm. Results . Venous thrombosis rate reached: 0%, 41%, and 100% for type I, II, IV resections, respectively. Among them four patients received curative anticoagulant treatment. Conclusion . After a portal vein resection was achieved in the course of a PD, curative postoperative anticoagulation does not prevent efficiently the onset of thrombosis." @default.
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- W2073601913 date "2008-01-01" @default.
- W2073601913 modified "2023-10-17" @default.
- W2073601913 title "Therapeutic Anticoagulant Does not Modify Thromboses Rate Vein after Venous Reconstruction Following Pancreaticoduodenectomy" @default.
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- W2073601913 doi "https://doi.org/10.1155/2008/896320" @default.
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